Individual
THERESA MARIE GALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
777 N MCLEAN BLVD, WICHITA, KS 67203-4980
(316) 942-7000
Mailing address
3037 N PEPPER RIDGE CT, WICHITA, KS 67205-1930
(316) 519-6398
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
11-03011
KS
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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