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Contact Information

DIANA GALLAGHER
3980 S. JACKSON DR
INDEPENDENCE, MO64057
 Phone: 816-795-1433
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for DIANA GALLAGHER · (Female)

NPI Number 1629498134
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2014
Last updated 04/23/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 1999141379
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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