Individual
MRS. ELLEN ANN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 WELSH RD, PHILADELPHIA, PA 19115-3730
(215) 676-9191
Mailing address
3337 DECATUR ST, PHILADELPHIA, PA 19136-3021
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001435L
PA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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