Individual
MRS. MARY MORGAN GALJOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
83 AIRWAYS PL, SOUTHAVEN, MS 38671-5885
(662) 349-8787
(662) 349-8757
Mailing address
83 AIRWAYS PL, SOUTHAVEN, MS 38671-5885
(662) 349-8787
(662) 349-8757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4560
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05928721
—
MS
Enumeration date
07/14/2009
Last updated
01/28/2010
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