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NPI Code Detail

MEDICARE: MR. JAMES RUSSELL GALLION PT

MEDICARE:  MR. JAMES RUSSELL GALLION  PT
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 Therapist2305204118VA

General Provider Information

NPI Number : 1134241532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES RUSSELL GALLION PT
Provider Business Mailing Address
First Line : 2100 E CLAY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23223-7218
Country : US
Telephone Number : 719-250-4810
Fax Number :
Provider Business Practice Location Address
First Line : 7101 JAHNKE RD
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4044
Country : US
Telephone Number : 804-483-0184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 03/10/2024

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Directions to “ MR. JAMES RUSSELL GALLION PT” Practice Location

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