Individual
JOHN CARLDON GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4624 E 43RD ST, NORTH LITTLE ROCK, AR 72117-2648
(501) 319-7659
(501) 353-2781
Mailing address
4624 E 43RD ST, NORTH LITTLE ROCK, AR 72117-2648
(501) 319-7659
(501) 353-2781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2501
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142174721
—
AR
01
—
5W483
BLUE CROSS AND BLUE SHIEL
AR
Enumeration date
03/23/2006
Last updated
10/03/2019
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