Individual
MR. JEFFREY GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2088 WOODPECKER LN, ELIZABETH, CO 80107-8558
(601) 493-6968
Mailing address
2088 WOODPECKER LN, ELIZABETH, CO 80107-8558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0000937
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85203751
—
CO
Enumeration date
03/07/2013
Last updated
11/01/2021
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