Individual
MS. KATHLEEN M GALLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
523 78TH ST, KENOSHA, WI 53143-6032
(262) 694-0080
(262) 942-7395
Mailing address
523 78TH ST, KENOSHA, WI 53143-6032
(262) 694-0080
(262) 942-7395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3431-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41811700
—
WI
Enumeration date
04/15/2008
Last updated
04/15/2008
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