Doctor Name: | NANCY BETH GAILLARD |
NPI Number: | 1669459111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 28033 |
Business Practice Address: | 3620 Joseph Siewick Dr Ste 100a Fairfax, VA - 220331756 |
Business Phone Number: | 7038105227 |
Business Fax Number: | 7038105224 |
Mailing Address: | 11240 Waples Mill Rd, Suite 401 FAIRFAX |
State: | VA |
Postal Code: | 220306078 |
Phone Number: | 7033836454 |
Fax Number: | 7038105494 |
NPI Enumeration Date: | 12/27/2005 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT 28033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |