Individual
JANICE LOAN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AT-C, AT-L, CSCS
Contact information
Practice address
10 N RIVER RD, MOUNT CLEMENS, MI 48043-1903
(586) 465-1872
Mailing address
10 N RIVER RD, MOUNT CLEMENS, MI 48043-1903
(586) 465-1872
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000276
MI
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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