| Dr Brian Joseph Gallagher, DPT | |
|
136 E Main St, Ravenna, OH 44266-3104 | |
| (330) 472-0372 | |
| (330) 649-2713 |
| Full Name | Dr Brian Joseph Gallagher |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 136 E Main St, Ravenna, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871865493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1213886 (Texas) | Primary |
| 225100000X | Physical Therapist | 013539 (Ohio) | Secondary |
| Provider Name | Cowboy Healthcare |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891162343 PECOS PAC ID: 8729212790 Enrollment ID: O20131004000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Joseph Gallagher, DPT 2490 Maplehurst Dr, Stow, OH 44224-2755 Ph: (330) 472-0372 | Dr Brian Joseph Gallagher, DPT 136 E Main St, Ravenna, OH 44266-3104 Ph: (330) 472-0372 |
Susan Bellamy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 533 E Main St, Ravenna, OH 44266 Phone: 330-297-9020 Fax: 330-297-9094 | |
Hannah Ward, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St Bldg Suite100, Ravenna, OH 44266 Phone: 330-297-2770 Fax: 330-297-8833 | |
Nicole Stone, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 865 Overlook Ave, Ravenna, OH 44266 Phone: 330-322-0566 | |
Timothy C Sommer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Suite 100, Ravenna, OH 44266 Phone: 330-297-2770 Fax: 330-297-8833 | |
Christine Marie Faler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Suite 100, Ravenna, OH 44266 Phone: 330-297-2770 Fax: 330-297-8833 | |
Dale P Jones Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6695 N Chestnut St, Ravenna, OH 44266 Phone: 330-759-5904 Fax: 330-759-8709 | |
Joseph Blasiole, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Suite 100, Ravenna, OH 44266 Phone: 330-297-2770 Fax: 330-297-8833 |