Individual
DR. ANDREW GRAYSON GANUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1045 RIVERSIDE AVE STE 190, JACKSONVILLE, FL 32204-4189
(904) 647-4284
Mailing address
1045 RIVERSIDE AVE STE 190, JACKSONVILLE, FL 32204-4189
(904) 647-4284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT38462
FL
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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