Individual
EMILY MARGARET GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
3125 BLUE LAKE DR, VESTAVIA, AL 35243-2333
(205) 969-7887
Mailing address
3125 BLUE LAKE DR, VESTAVIA, AL 35243-2333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH11025
AL
2255A2300X
Athletic Trainer
2601002155
MI
Other
Enumeration date
01/03/2018
Last updated
08/26/2022
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