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)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