MEDICARE: SARAH BOSLEY GALLAGHER P.T.

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
1	2251N0400X	Neurology Physical Therapist	10016	CO

General Provider Information

NPI Number	:	1841547882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BOSLEY GALLAGHER P.T.

Provider Business Mailing Address
First Line	:	495 UINTA WAY STE 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230-7198
Country	:	US
Telephone Number	:	303-861-0057
Fax Number	:

Provider Business Practice Location Address
First Line	:	495 UINTA WAY STE 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230-7198
Country	:	US
Telephone Number	:	303-861-0057
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	10/17/2023

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