Individual
JOHN MITCHELL GALBRAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-4952
Mailing address
3110 W WALTANN LN, PHOENIX, AZ 85053-3943
(602) 789-0248
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2593
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
561614
—
AZ
Enumeration date
04/02/2007
Last updated
07/09/2007
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