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Individual

CLARISSA GANTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
262 NEW SHACKLE ISLAND RD STE 210, HENDERSONVILLE, TN 37075-2489
(615) 507-1552
(615) 507-1553
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1324092
TX
225100000X
Physical Therapist
Primary
13774
TN

Other

Enumeration date
09/12/2019
Last updated
08/05/2021
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