Individual
JACKSON E GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, STE 700, LOUISVILLE, KY 40202-1882
(502) 562-0398
(502) 585-0021
Mailing address
PO BOX 740041, DEPT 6150, LOUISVILLE, KY 40201-7441
(502) 562-0398
(502) 585-0021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005213A
IN
Other
Enumeration date
11/21/2011
Last updated
09/27/2016
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