Individual
BRYAN W GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
454 TAYLOR RD, MONTGOMERY, AL 36117-3563
(334) 613-9000
(334) 286-6311
Mailing address
454 TAYLOR RD, MONTGOMERY, AL 36117-3563
(334) 613-9000
(334) 286-6311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3228
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515 26464
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/04/2006
Last updated
05/14/2025
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