Jeff Gallichan, PTA

NPI #1841846300 in Lake Alfred, Florida

Provider Information

NPI Number: 1841846300
Entity Type: Individual
Name: Jeff Gallichan, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 255 E MAIN ST
City: Lake Alfred
State: Florida
ZIP Code: 33850-2133
Phone: (727) 803-1102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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