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Individual

MADISON GALLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5492
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5492
OCCUPATIONAL THERAPIST
AL
Enumeration date
11/22/2022
Last updated
11/22/2022
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