Provider Demographics
NPI:1881829554
Name:HARLEY, GALATIA FOUST (MPT, DPT)
Entity Type:Individual
Prefix:
First Name:GALATIA
Middle Name:FOUST
Last Name:HARLEY
Suffix:
Gender:F
Credentials:MPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4912 STONEWOOD PINES DR
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-7541
Mailing Address - Country:US
Mailing Address - Phone:919-522-2782
Mailing Address - Fax:
Practice Address - Street 1:4912 STONEWOOD PINES DR
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-7541
Practice Address - Country:US
Practice Address - Phone:919-522-2782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-23
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP120802251G0304X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics