Individual
THEODORE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 CAROLYN CT, MINERVA, OH 44657-8703
(330) 868-4104
Mailing address
900 RAFF RD SW, CANTON, OH 44710-1560
(330) 327-3087
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04743
OH
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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