| Ethan Daniel Gallagher, | |
|
119 E Uwchlan Ave Ste 201, Exton, PA 19341-1293 | |
| (610) 557-8182 | |
| Not Available |
| Full Name | Ethan Daniel Gallagher |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 119 E Uwchlan Ave Ste 201, Exton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588403091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | TPT023830 (Pennsylvania) | Secondary |
| 225100000X | Physical Therapist | PT032515 (Pennsylvania) | Primary |
| Provider Name | Premier Orthopaedic And Sports Medicine Associates, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215987243 PECOS PAC ID: 5890681092 Enrollment ID: O20040225000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Daniel Gallagher, Po Box 34990, Belfast, ME 04915-0627 Ph: (610) 359-5672 | Ethan Daniel Gallagher, 119 E Uwchlan Ave Ste 201, Exton, PA 19341-1293 Ph: (610) 557-8182 |
Serenity Pelvic Care Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Exton Cmns Ste B, Exton, PA 19341 Phone: 732-397-6286 | |
Christine M Licata, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 855 Springdale Dr Ste 110, Exton, PA 19341 Phone: 484-874-2130 Fax: 484-874-2129 | |
Ms. Jean C. Hall Miller, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 526 Whitford Hills Rd, Exton, PA 19341 Phone: 203-641-1614 | |
Mr. Ryan Mitchell D. Torres, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 855 Springdale Dr Ste 200, Exton, PA 19341 Phone: 610-644-7824 | |
Dr. Baylee B Mann, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 Crump Rd, Exton, PA 19341 Phone: 610-241-2685 Fax: 877-732-7311 | |
Lynn Beyer Johnston, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 119 E Uwchlan Ave Ste 201, Exton, PA 19341 Phone: 610-557-8182 | |
Danielle Yoder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 269 Iron Lake Dr, Exton, PA 19341 Phone: 610-914-0467 |