Individual
JAMIE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 GREENHILL LN, PHILADELPHIA, PA 19128-1060
(267) 972-3643
Mailing address
521 GREENHILL LN, PHILADELPHIA, PA 19128-1060
(267) 972-3643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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