| Doctor Name: | TAMMY C GANTZER |
| NPI Number: | 1013001981 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 3445 |
| Business Practice Address: | 134 Professional Park Drive Rock Hill, SC - 297321178 |
| Business Phone Number: | 8033294685 |
| Business Fax Number: | 8033294683 |
| Mailing Address: | 105 Ben Casey Drive, Suite 127 FORT MILL |
| State: | SC |
| Postal Code: | 297088561 |
| Phone Number: | 8038025855 |
| Fax Number: | 8038025869 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 02/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 3445 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |