# GAMBRILL'S PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942362363
- **Authorized official:** DR. CASSANDRA GANNON PT (OWNER)
- **Authorized official phone:** (301) 473-4065

## Contact information

- **Practice address:** 7817 BALTIMORE NATIONAL PIKE, SUITE A, FREDERICK, MD 21702-3556
- **Practice address phone:** (301) 473-4065
- **Practice address fax:** (301) 473-4085
- **Mailing address:** 7817 BALTIMORE NATIONAL PIKE, SUITE A, FREDERICK, MD 21702-3556
- **Mailing address phone:** (301) 473-4065
- **Mailing address fax:** (301) 473-4085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 18881 | MD | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 10/15/2007