Mary R Gallagher
Occupational Therapist Occupational Therapist - Pediatrics
230 Farmington Ave
Farmington
, Connecticut 06032-1916
Mary R Gallagher
Occupational Therapist Occupational Therapist - Pediatrics
230 Farmington Ave
Farmington
, Connecticut 06032-1916
(203) 759-7359
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mary R Gallagher
- 3396 E Main St
- Waterbury, CT
- Zip : 06705-3812
- Fax : (203) 759-7359
- Phone : (203) 754-2161
Second Address
- Mary R Gallagher
- 230 Farmington Ave
- Farmington, CT
- Zip : 06032-1916
- Fax : (860) 674-1836
- Phone : (860) 674-1824
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 002071 | CT |
| N | 225XP0200X | Occupational Therapist - Pediatrics | 002071 | CT |
National Provider Identifier
| NPI | 1073779864 |
|---|---|
| Provider Name | Mary R Gallagher |
| First Address | Waterbury, CT 06705-3812 |
| Second Address | Farmington, CT 06032-1916 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2008 |
| Last Update Date | 21/01/2014 |
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.