Individual
MRS. CAROLYN ANN GALLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4108 ZUCK RD, ERIE, PA 16506-4539
(814) 397-5438
(814) 833-0313
Mailing address
5760 SWANVILLE RD, ERIE, PA 16506-1126
(814) 833-9509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002766E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
809928
BLUE CROSS
PA
Enumeration date
01/10/2006
Last updated
08/12/2010
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