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Organization
MLG PHYSICAL THERAPY PLLC
Active
Organization
MLG PHYSICAL THERAPY PLLC
Active
Other names
Active Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOUISE GALLEGOS MPT (OWNER/ PHYSICAL THERAPIST)
(317) 557-2334
Entity
Organization
Contact information
Practice address
1824 HIGHWAY 30 E, DENISON, IA 51442-2101
(712) 393-7000
(712) 393-7001
Mailing address
PO BOX 455, CARROLL, IA 51401-0455
(712) 393-7000
(712) 393-7001
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/02/2014
Last updated
06/17/2014
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