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NPI Code Detail

MEDICARE: JALINA GALLAGHER

MEDICARE: JALINA GALLAGHER
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
12251P0200XPediatric Physical Therapist

General Provider Information

NPI Number : 1366134736
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALINA GALLAGHER
Provider Business Mailing Address
First Line : 1345 ENTERPRISE DR
Second Line :
City : WEST CHESTER
State : PA
Zip : 19380-5964
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2076 S INDEPENDENCE BLVD STE 1B
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-4773
Country : US
Telephone Number : 757-302-4144
Fax Number : 757-271-9108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2023
Last Update Date : 05/24/2023

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