MRS. Charlotte Elizabeth Weiss Gallagher, PTA, LMT
NPI #1063767754 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1063767754
- Entity Type
- Individual
- Name
- MRS. Charlotte Elizabeth Weiss Gallagher, PTA, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA, LMT
- Enumeration Date
- Jul 18, 2012
- Last Updated
- Jul 18, 2012
Practice Location
- Address
- 21 HERITAGE DR STE 101
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-1465
- Phone
- (815) 937-8220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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