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NPI Code Detail

MEDICARE: MRS. MOLLY MORGAN GALYAN DPT

MEDICARE: MRS. MOLLY MORGAN GALYAN DPT
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 Therapist05009047AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457573263
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MOLLY MORGAN GALYAN DPT
Provider Business Mailing Address
First Line : 7701 E 21ST ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-2406
Country : US
Telephone Number : 317-375-2700
Fax Number :
Provider Business Practice Location Address
First Line : 7701 E 21ST ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-2406
Country : US
Telephone Number : 317-375-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 09/17/2014

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