Individual
LORRAINE GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 HAIGHT RD, AMENIA, NY 12501-5208
(845) 373-4122
Mailing address
175 HAIGHT RD, AMENIA, NY 12501-5208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
716255218
NY
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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