Individual
SEAN P GALLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-4189
(937) 208-4534
Mailing address
53 S ALPHA BELLBROOK RD, XENIA, OH 45385-9329
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
6637
OH
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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