Individual
MR. GARY L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3085 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2248
(928) 772-8707
Mailing address
3085 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2248
(928) 772-8707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7177
AZ
225100000X
Physical Therapist
PT29038
CA
Other
Enumeration date
11/10/2005
Last updated
08/08/2011
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