Individual
ALICIA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
210 E DE RENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Mailing address
210 E DE RENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005842
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005842
PT LICENSE
GA
Enumeration date
12/01/2006
Last updated
12/02/2009
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