Individual
JACQUELINE HELEN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
8420 UNIVERSITY EXEC PARK DR STE 825, CHARLOTTE, NC 28262-1346
(704) 727-4830
Mailing address
8420 UNIVERSITY EXEC PARK DR STE 825, CHARLOTTE, NC 28262-1346
(704) 727-4830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17779
NC
225X00000X
Occupational Therapist
OTH-008636
AZ
225XP0200X
Pediatric Occupational Therapist
008636
AZ
225XP0200X
Pediatric Occupational Therapist
Primary
17779
NC
225XP0200X
Pediatric Occupational Therapist
—
AZ
Other
Enumeration date
10/11/2021
Last updated
03/29/2026
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