Gallagher, Mary
Gallagher, Mary is an individual health care provider with primary practice located at 1422 Monterey St Suite C-102, San Luis Obispo CA 93401-2944. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gallagher, Mary can be contacted via phone (805) 543-5100.Contact Information
Primary practice address
1422 Monterey St Suite C-102
San Luis Obispo CA 93401-2944
Phone: (805) 543-5100
Fax: (805) 543-5106
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 17433 | California |
Profile Details
NPI number | 1639162423 |
---|---|
LBN Legal business name | Gallagher, Mary |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 26th, 2005 |
Last updated | Sep 10th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639162423 | NPPES |
California | Other | PT 17433 | PHYSICAL THERAPY LICENSE |
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