Gann, Stacey Wade

Gann, Stacey Wade is an individual health care provider with primary practice located at 201 Office Park Dr Ste 150 , Mountain Brk AL 35223-2400. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Gann, Stacey Wade can be contacted via phone (205) 879-6447.

Contact Information

Primary practice address
201 Office Park Dr Ste 150 Mountain Brk AL 35223-2400
Phone: (205) 879-6447
Fax: (205) 278-2299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA8197 Alabama

Profile Details

NPI number 1568906014
LBN Legal business name Gann, Stacey Wade
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2016
Last updated Dec 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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