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NPI Code Detail

MEDICARE: ANDREW D GALLANT

MEDICARE: ANDREW D GALLANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4843NH

General Provider Information

NPI Number : 1427628882
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW D GALLANT
Provider Business Mailing Address
First Line : 73 NEWTON RD UNIT 101
Second Line :
City : PLAISTOW
State : NH
Zip : 03865-2440
Country : US
Telephone Number : 978-388-7272
Fax Number : 978-388-7373
Provider Business Practice Location Address
First Line : 1065 E TUCSON MARKETPLACE BLVD STE 155
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6563
Country : US
Telephone Number : 520-822-8640
Fax Number : 520-822-8641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2021
Last Update Date : 01/23/2023

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Directions to “ ANDREW D GALLANT ” Practice Location

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