Individual
MRS. AIDA GOMES GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
15 MASSIRIO DR, BERLIN, CT 06037-2300
(860) 829-1300
Mailing address
15 MASSIRIO DR, BERLIN, CT 06037-2300
(860) 829-1300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004988
CT
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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