Individual
MR. ANDREW GALLAGHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
115 SPENCER ST, SUITE 103, WINSTED, CT 06098-1140
(860) 738-5810
Mailing address
86 DUNROBIN LN, WATERTOWN, CT 06795-1712
(860) 712-3080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005572
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004208460
—
CT
Enumeration date
06/06/2006
Last updated
11/21/2013
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