Provider Demographics
NPI:1982610127
Name:GARGANO, MARY ANN (PT MS)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:ANN
Last Name:GARGANO
Suffix:
Gender:F
Credentials:PT MS
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Mailing Address - Street 1:17251 SWEETBRIAR RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4028
Mailing Address - Country:US
Mailing Address - Phone:917-843-6428
Mailing Address - Fax:302-444-8309
Practice Address - Street 1:17251 SWEETBRIAR RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4028
Practice Address - Country:US
Practice Address - Phone:917-843-6428
Practice Address - Fax:302-444-8309
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2016-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ40QA01098500225100000X
DEJ1-0003341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist