Individual
ETHAN DANIEL GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 E UWCHLAN AVE STE 201, EXTON, PA 19341-1293
(610) 557-8182
Mailing address
PO BOX 34990, BELFAST, ME 04915-0627
(610) 359-5672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT032515
PA
2251P0200X
Pediatric Physical Therapist
TPT023830
PA
Other
Enumeration date
05/23/2024
Last updated
01/29/2025
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