Individual
SHANNON GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6595 S DAYTON ST, GREENWOOD VILLAGE, CO 80111-6128
(303) 504-9945
(303) 504-9946
Mailing address
2050 PERRY ST, DENVER, CO 80212-1192
(970) 556-1881
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29577039
—
CO
01
—
649046
ANTHEM
CO
Enumeration date
04/16/2007
Last updated
07/08/2007
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