Individual
CONNIE L GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1B OLYMPIC DR, READING, PA 19607-3332
(610) 468-4078
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP00311L
PA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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