Individual
MISS WHITNEY E GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
604 PRINCETON RD, #22, JOHNSON CITY, TN 37601-3760
(601) 466-2699
Mailing address
11 SPRING HOLLOW DR, CRYSTAL SPRINGS, MS 39059-9610
(601) 466-2699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
05676
MD
225X00000X
Occupational Therapist
3186
SC
225X00000X
Occupational Therapist
Primary
3754
TN
225X00000X
Occupational Therapist
OT1808
MS
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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