Individual
ANITA B GANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2500 METROHEALTH DR, MHMC-PM&R, CLEVELAND, OH 44109-1900
(216) 778-7799
Mailing address
2500 METROHEALTH DR, MHMC-PM&R, CLEVELAND, OH 44109-1900
(216) 778-7799
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
4399
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0861385
—
OH
01
—
2726468400
BWC
OH
Enumeration date
07/06/2006
Last updated
07/08/2007
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