Individual
KAYLA FAYE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1040 W POLK ST APT 3B, CHICAGO, IL 60607-3757
(630) 456-5476
Mailing address
1040 W POLK ST APT 3B, CHICAGO, IL 60607-3757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014957
IL
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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