Individual
TARA LAYNE GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 MERAMEC BLUFFS DR, BALLWIN, MO 63021-3309
(636) 861-0600
Mailing address
222 CANDICE WAY, SAINT PETERS, MO 63376-4621
(314) 420-4441
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2022028288
MO
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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