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NPI Code Detail

MEDICARE: MRS. DEBBY JANE GALLUP PT

MEDICARE: MRS. DEBBY JANE GALLUP 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 Therapist8416CA
22251P0200XPediatric Physical Therapist8416CA

General Provider Information

NPI Number : 1578517561
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBBY JANE GALLUP PT
Provider Business Mailing Address
First Line : 24242 LA CRESTA DR
Second Line :
City : DANA POINT
State : CA
Zip : 92629-2561
Country : US
Telephone Number : 949-496-3363
Fax Number : 949-489-3752
Provider Business Practice Location Address
First Line : 24242 LA CRESTA DR
Second Line :
City : DANA POINT
State : CA
Zip : 92629-2561
Country : US
Telephone Number : 949-496-3363
Fax Number : 949-489-3752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 09/11/2025

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