MEDICARE: ZACHARY WILLIAM GALL 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
1	225100000X	Physical Therapist	PT028436	PA

General Provider Information

NPI Number	:	1922787910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY WILLIAM GALL DPT

Provider Business Mailing Address
First Line	:	211 BELMONT RD
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-2103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	601A PITTSBURGH RD
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16002-4033
Country	:	US
Telephone Number	:	724-481-1141
Fax Number	:

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

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	07/17/2023

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