Individual
MRS. CAROLYN GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 DURST RD, IRWIN, PA 15642-9102
(724) 787-1089
Mailing address
258 DURST RD, IRWIN, PA 15642-9102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0P000343L
PA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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