# MR. ANDRE V GALLARDO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871708859
- **Gender:** Man
- **Credential:** OTR, PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 4374 | CA | — |
| 363A00000X | Physician Assistant | 19169 | CA | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 03/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19169 | PHYSICIAN'S ASSISTANT | CA |
| 01 | — | OT 4374 | OCCUPATIONAL THERAPIST | CA |