Individual
DR. SAMANTHA J GALLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2-8 W MAIN ST, JOHNSTOWN, NY 12095-2308
(518) 848-0843
Mailing address
9 EUCLID AVE, BALLSTON SPA, NY 12020-3628
(518) 848-2709
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
031940
NY
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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