Individual
KIMBERLY GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
91 CAMDEN ST, STE 401, ROCKLAND, ME 04841-2421
(207) 593-6682
(207) 593-7149
Mailing address
91 CAMDEN ST, STE 401, ROCKLAND, ME 04841-2421
(207) 593-6682
(207) 593-7149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2629
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11802104
CAQH
ME
01
—
9096094
AETNA
ME
Enumeration date
07/11/2007
Last updated
01/31/2018
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