Individual
JORDAN MICAELA GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
70 TIMBER CREEK DR, CORDOVA, TN 38018-4285
(901) 309-3077
Mailing address
358 E PARKWAY N APT 7, MEMPHIS, TN 38112-5428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000013458
TN
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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