Individual
MICHAEL GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
91 CAMDEN ST., SUITE 401, ROCKLAND, ME 04841-2421
(207) 593-6682
(207) 213-1075
Mailing address
91 CAMDEN ST., SUITE 401, ROCKLAND, ME 04841-2421
(207) 593-6682
(207) 213-1075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2630
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11802105
CAQH
ME
01
—
9772088
AETNA
ME
Enumeration date
07/11/2007
Last updated
02/06/2013
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