Individual
TED ANDREW GALLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
11563 TEMPLAR DR, SAINT LOUIS, MO 63141-7547
(314) 308-3071
Mailing address
11563 TEMPLAR DR, SAINT LOUIS, MO 63141-7547
(314) 308-3071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02232
MO
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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