Individual
GINA LIN GALLIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 FAWN DR, SAN ANSELMO, CA 94960-1158
(415) 342-0496
Mailing address
99 FAWN DR, SAN ANSELMO, CA 94960-1158
(415) 342-0496
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
20810
CA
Other
Enumeration date
05/16/2016
Last updated
06/15/2021
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