Organization
GALLANT THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN GALLANT (PRESIDENT)
(207) 623-3900
Entity
Organization
Contact information
Practice address
12 SHUMAN AVE STE 16, AUGUSTA, ME 04330-6020
(207) 623-3900
Mailing address
12 SHUMAN AVE STE 16, AUGUSTA, ME 04330-6020
(207) 623-3900
(207) 480-1541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172740000
—
ME
05
—
434551000
—
ME
Enumeration date
05/27/2009
Last updated
11/11/2025
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