Individual
JULIA GALLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9602 M ST, OMAHA, NE 68127-2053
(402) 331-8555
Mailing address
984180 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4180
(402) 559-4824
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
849
NE
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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