| NPI | 1831878917 |
|---|---|
| Former Name | ALYSON MARIE GALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2022038732) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64622) |
| 225100000X Physical Therapist (Licence: WA CP017394T) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |