Organization
GAL PT
Active
Other names
Colwill Physical Therapy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN A LEACHMAN DPT (OWNER/CEO)
(408) 615-1516
Entity
Organization
Contact information
Practice address
4155 MOORPARK AVE., SUITE 20, SAN JOSE, CA 95117-1597
(408) 615-1516
(866) 754-1516
Mailing address
4155 MOORPARK AVE., SUITE 20, SAN JOSE, CA 95117-1597
(408) 615-1516
(866) 754-1516
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
CA
225100000X
Physical Therapist
PT26728
CA
2251G0304X
Geriatric Physical Therapist
PT26728
CA
2251N0400X
Neurology Physical Therapist
PT26728
CA
2251S0007X
Sports Physical Therapist
PT26728
CA
2251X0800X
Orthopedic Physical Therapist
PT26728
CA
Other
Enumeration date
04/27/2011
Last updated
12/12/2016
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