Individual
JORDAN HALEY GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 N MAIN ST, MARION, SC 29571-2517
(843) 423-1811
Mailing address
921 KIRBY FARM DR, FLORENCE, SC 29506-8901
(843) 496-9146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3737
SC
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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