Individual
KELLEY GALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 HAWTHORNE DR, DENVER, PA 17517-1720
(717) 336-2829
Mailing address
1404 GARFIELD AVE, WYOMISSING, PA 19610-2414
(610) 478-1343
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT007151L
PA
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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