Individual
KAITLIN B GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
26 SHENIPSIT LAKE RD, TOLLAND, CT 06084-2332
(860) 872-2999
Mailing address
149 ASHBROOK ST, SPRINGFIELD, MA 01118-1204
(413) 244-8798
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003717
CT
225X00000X
Occupational Therapist
10521
MA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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