| NPI | 1568621282 |
|---|---|
| Former Name | CHRYSTAL DAWN GALLAGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-2366) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: ID PT-2366) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-05-23 |