Provider Demographics
NPI:1528350766
Name:GALGON, ANNE KEELER (PT, PHD, NCS,)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:KEELER
Last Name:GALGON
Suffix:
Gender:F
Credentials:PT, PHD, NCS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 LISMORE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4011
Mailing Address - Country:US
Mailing Address - Phone:215-885-8472
Mailing Address - Fax:
Practice Address - Street 1:1001 EASTON RD
Practice Address - Street 2:101 MANOR
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-2028
Practice Address - Country:US
Practice Address - Phone:215-659-7759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006388L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist