Individual
MRS. DIANE MARIE GALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5606 80 ANDOVER STREET, ANDOVER, MA 01810
(978) 340-3434
Mailing address
9 DORNELL RD, IPSWICH, MA 01938-1204
(978) 335-0852
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1957
MA
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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