Provider Demographics
NPI:1336286145
Name:GALPIN, GLORIE
Entity Type:Individual
Prefix:
First Name:GLORIE
Middle Name:
Last Name:GALPIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03784-1618
Mailing Address - Country:US
Mailing Address - Phone:603-298-5595
Mailing Address - Fax:603-298-5205
Practice Address - Street 1:103 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03784-1618
Practice Address - Country:US
Practice Address - Phone:603-298-5595
Practice Address - Fax:603-298-5205
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2694225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE6437Medicare ID - Type Unspecified