Doctor Name: | MR. JOSEPH SEAN GALLOWAY |
NPI Number: | 1780692954 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT0000004235 |
Business Practice Address: | 950 Main St Suite B Wartburg, TN - 378874309 |
Business Phone Number: | 4233467333 |
Business Fax Number: | 4233467337 |
Mailing Address: | 106 English Ct, OAK RIDGE |
State: | TN |
Postal Code: | 378308763 |
Phone Number: | 8652209569 |
Fax Number: | 8652209569 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT0000004235 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |