Individual
ALLISON GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13642 N US HIGHWAY 183, #200, AUSTIN, TX 78750-2265
(512) 331-4115
Mailing address
703 GUMWOOD ST, GREAT FALLS, MT 59405-7921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1276112
TX
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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