Individual
MR. GARY A SHANKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
553 RIVERSTONE PKWY, SUITE 100, CANTON, GA 30114-5222
(770) 345-3057
(770) 345-3154
Mailing address
553 RIVERSTONE PKWY, SUITE 100, CANTON, GA 30114-5222
(770) 345-3057
(770) 345-3154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000098
GA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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