Provider Demographics
NPI:1295007680
Name:GALLANT, PAUL STEVEN JR (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:STEVEN
Last Name:GALLANT
Suffix:JR
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:237 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-3509
Mailing Address - Country:US
Mailing Address - Phone:985-630-1600
Mailing Address - Fax:504-866-2577
Practice Address - Street 1:4637 S CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6024
Practice Address - Country:US
Practice Address - Phone:985-630-1600
Practice Address - Fax:504-866-2577
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA08099225100000X, 2251E1200X, 2251G0304X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports