Individual
HENRY GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2075 BALMORAL AVE, UNION, NJ 07083-5301
(201) 993-8118
Mailing address
2075 BALMORAL AVE, UNION, NJ 07083-5301
(201) 993-8118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010881-1
NY
Other
Enumeration date
06/27/2010
Last updated
06/27/2010
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