# GAL PT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colwill Physical Therapy, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891086625
- **Authorized official:** GRETCHEN A LEACHMAN DPT (OWNER/CEO)
- **Authorized official phone:** (408) 615-1516

## Contact information

- **Practice address:** 4155 MOORPARK AVE., SUITE 20, SAN JOSE, CA 95117-1597
- **Practice address phone:** (408) 615-1516
- **Practice address fax:** (866) 754-1516
- **Mailing address:** 4155 MOORPARK AVE., SUITE 20, SAN JOSE, CA 95117-1597
- **Mailing address phone:** (408) 615-1516
- **Mailing address fax:** (866) 754-1516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | CA | Yes |
| 225100000X | Physical Therapist | PT26728 | CA | — |
| 2251G0304X | Geriatric Physical Therapist | PT26728 | CA | — |
| 2251N0400X | Neurology Physical Therapist | PT26728 | CA | — |
| 2251S0007X | Sports Physical Therapist | PT26728 | CA | — |
| 2251X0800X | Orthopedic Physical Therapist | PT26728 | CA | — |

## Other

- **Enumeration date:** 04/27/2011
- **Last updated:** 12/12/2016