Individual
MARK GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
227 CENTRAL AVE, CHRISTIANSBURG, VA 24073-6093
(757) 509-9748
Mailing address
2203A MCGAVOCK PIKE, NASHVILLE, TN 37216-2814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0000009556
TN
225100000X
Physical Therapist
Primary
2305207513
VA
Other
Enumeration date
12/15/2014
Last updated
12/16/2014
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