Individual
KAYLI GALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
199 COURT ST, JANE LEW, WV 26378-8548
(304) 884-7811
Mailing address
59 SIOUX DR, BUCKHANNON, WV 26201-1242
(267) 567-2793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2120
WV
Other
Enumeration date
09/05/2019
Last updated
12/29/2021
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