Individual
MS. JENNIFER CHRISTINE GALLUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
405 SE 5TH ST., GRESHAM, OR 97030
(503) 666-5600
Mailing address
246 SW 7TH ST, TROUTDALE, OR 97060-1327
(503) 492-1834
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1053939
OR
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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