Individual
MATTHEW GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1091 PARK DR, SUITE B, WATKINSVILLE, GA 30677-2014
(770) 207-6390
(678) 374-4855
Mailing address
1091 PARK DR, SUITE B, WATKINSVILLE, GA 30677-2014
(770) 207-6390
(678) 374-4855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006368
GA
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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