Healthcare Provider Details

I. General information

NPI: 1366134736
Provider Name (Legal Business Name): JALINA GALLAGHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JALINA STARR SABADO

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

397 LITTLE NECK RD STE 1
VA BEACH VA
23452-5765
US

IV. Provider business mailing address

361 CLEVELAND PL STE 100
VA BEACH VA
23462-6545
US

V. Phone/Fax

Practice location:
  • Phone: 757-222-2230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: