Male or Other

Mr. Ricky V. Gann MS, OTR/L

Gerontology Occupational Therapist in Rome, GA(View on Map)

Full Name

Mr. Ricky Vinson Gann MS, OTR/L

NPI Number

1780929679

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/03/2012

Specialties

(Taxonomies)

Code

225XG0600X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

OT004440

Contact
Information

Purpose

Mailing
Location

Address

20 EAST DR NW
809 S BROAD ST SW

City

Rome
Rome

State

GA
GA

Postal Code

30165-1819
30161-4654

Country

US
US

Telephone Number

N/A
(706) 235-1337

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/03/2012

Provider Address