Provider Demographics
NPI:1285768945
Name:GALLAGHER, GAIL HEATHER (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:HEATHER
Last Name:GALLAGHER
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Gender:F
Credentials:PT, DPT
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Mailing Address - Street 1:9097 E DESERT COVE DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6279
Mailing Address - Country:US
Mailing Address - Phone:480-837-2595
Mailing Address - Fax:480-837-0356
Practice Address - Street 1:16605 E PALISADES BLVD
Practice Address - Street 2:SUITE 144
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-3716
Practice Address - Country:US
Practice Address - Phone:480-837-2595
Practice Address - Fax:480-837-2773
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1158570225100000X
AZ6549225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist