Mr Jeffrey Galloway, | |
2088 Woodpecker Ln, Elizabeth, CO 80107-8558 | |
(601) 493-6968 | |
Not Available |
Full Name | Mr Jeffrey Galloway |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 2088 Woodpecker Ln, Elizabeth, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548501075 | NPI | - | NPPES |
85203751 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT.0000937 (Colorado) | Primary |
Provider Name | Promise Ranch Therapeutic Riding |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972830016 PECOS PAC ID: 6800116377 Enrollment ID: O20150522002229 |
Provider Name | Sundance Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033653670 PECOS PAC ID: 2163707688 Enrollment ID: O20170324001774 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey Galloway, 2088 Woodpecker Ln, Elizabeth, CO 80107-8558 Ph: () - | Mr Jeffrey Galloway, 2088 Woodpecker Ln, Elizabeth, CO 80107-8558 Ph: (601) 493-6968 |
Mrs. Olivia Lauren Lagasse, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 42309 Kingsmill Cir, Elizabeth, CO 80107 Phone: 518-396-9139 | |
Ms. Marcia Hawley Bakemeyer, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 42125 Las Colinas Dr, Elizabeth, CO 80107 Phone: 303-243-1713 |