Individual
DIANA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3980 S. JACKSON DR, INDEPENDENCE, MO 64057
(816) 795-1433
Mailing address
3980 S. JACKSON DR, INDEPENDENCE, MO 64057
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1999141379
MO
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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