Tricia Gallup, PT

NPI #1275552937 in Big Lake, Minnesota

Provider Information

NPI Number: 1275552937
Entity Type: Individual
Name: Tricia Gallup, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 35 LAKE ST S
Address 2: STE 600
City: Big Lake
State: Minnesota
ZIP Code: 55309
Phone: (763) 263-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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