| NPI | 1366589640 |
|---|---|
| Former Name | SUSAN GALLAGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CA C151768) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA C151768) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CO 46931) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-03-17 |