Individual
KRISTEN GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 STADIUM CT, PONTE VEDRA BEACH, FL 32082-3152
(757) 651-0183
Mailing address
124 STADIUM CT, PONTE VEDRA BEACH, FL 32082-3152
(757) 651-0183
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT19865
FL
Other
Enumeration date
10/29/2013
Last updated
09/10/2019
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