Individual
JUSTIN REID GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
165 NATCHEZ AVE, UNIT 200, BOWLING GREEN, KY 42103
(270) 796-4698
Mailing address
150 RUBY DR APT 1A, ELIZABETHTOWN, KY 42701-4674
(270) 899-0285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
245455
KY
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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