Mr. Ricky Vinson Gann
Occupational Therapist - Gerontology
809 S Broad St Sw
Rome
, Georgia 30161-4654
Mr. Ricky Vinson Gann
Occupational Therapist - Gerontology
809 S Broad St Sw
Rome
, Georgia 30161-4654
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mr. Ricky Vinson Gann
- 20 East Dr Nw
- Rome, GA
- Zip : 30165-1819
- Phone :
Second Address
- Mr. Ricky Vinson Gann
- 809 S Broad St Sw
- Rome, GA
- Zip : 30161-4654
- Phone : (706) 235-1337
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | OT004440 | GA |
National Provider Identifier
| NPI | 1780929679 |
|---|---|
| Provider Name | Mr. Ricky Vinson Gann |
| First Address | Rome, GA 30165-1819 |
| Second Address | Rome, GA 30161-4654 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2012 |
| Last Update Date | 03/12/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.