Dr. Samantha J Gallup
Physical Therapist - Pediatrics
2-8 W Main St
Johnstown
, New York 12095-2308
Dr. Samantha J Gallup
Physical Therapist - Pediatrics
2-8 W Main St
Johnstown
, New York 12095-2308
(518) 848-2709
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Dr. Samantha J Gallup
- 9 Euclid Ave
- Ballston Spa, NY
- Zip : 12020-3628
- Phone : (518) 848-2709
Second Address
- Dr. Samantha J Gallup
- 2-8 W Main St
- Johnstown, NY
- Zip : 12095-2308
- Phone : (518) 848-0843
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 031940 | NY |
National Provider Identifier
| NPI | 1043529415 |
|---|---|
| Provider Name | Dr. Samantha J Gallup |
| First Address | Ballston Spa, NY 12020-3628 |
| Second Address | Johnstown, NY 12095-2308 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/10/2010 |
| Last Update Date | 01/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.