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-- DIANA GANAHL -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1568811768
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
4132 DEVONSHIRE CT NE, SALEM, OR, 973051982
Phone
(503) 364-5313
Fax
(503) 364-5296

Specialties & Taxonomies

Physical Therapy Assistant Primary License: OR #7715

All Addresses

MAILING

8823 PRODUCTION LN

OOLTEWAH, TN, 373636511

(423) 238-7217

LOCATION

4132 DEVONSHIRE CT NE

SALEM, OR, 973051982

(503) 364-5313