Individual
KELLY GALLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
47 E MAIN ST, WEST BROOKFIELD, MA 01585-2906
(508) 867-7716
Mailing address
47 E MAIN ST, WEST BROOKFIELD, MA 01585-2906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9069
MA
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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