Individual
PAUL KURT GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
70 SERPENTINE DR E, BAYVILLE, NJ 08721-3050
(732) 674-9050
Mailing address
70 SERPENTINE DR E, BAYVILLE, NJ 08721-3050
(732) 674-9050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023606
NY
225X00000X
Occupational Therapist
46TR00884100
NJ
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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