Individual
MR. THOMAS PATRICK GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2708 RUTH WAY, PHILADELPHIA, PA 19114
(215) 649-0022
Mailing address
2708 RUTH WAY, PHILADELPHIA, PA 19114-3499
(215) 649-0022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000036367
—
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
08/29/2018
Last updated
06/12/2019
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