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Individual

JEFF GANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
925 S SEMORAN BLVD STE 108, WINTER PARK, FL 32792-5313
(888) 830-1050
Mailing address
229 LAKEWOOD DR, LIVINGSTON, TX 77351-8661
(713) 805-2812

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2054283
TX

Other

Enumeration date
05/02/2012
Last updated
05/02/2012
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