Individual
MS. MEGAN DEDRA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, ATC, VATL
Contact information
Practice address
4301 CEDAR LN, PORTSMOUTH, VA 23703-2074
(757) 613-1388
Mailing address
3611 GATEWAY DR APT 2D, PORTSMOUTH, VA 23703-5016
(757) 613-1388
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001143
VA
Other
Enumeration date
01/04/2010
Last updated
10/04/2013
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