Individual
MARY R GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
230 FARMINGTON AVE, FARMINGTON, CT 06032-1916
(860) 674-1824
(860) 674-1836
Mailing address
3396 E MAIN ST, WATERBURY, CT 06705-3812
(203) 754-2161
(203) 759-7359
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002071
CT
225XP0200X
Pediatric Occupational Therapist
002071
CT
Other
Enumeration date
08/01/2008
Last updated
01/21/2014
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