Individual
AMY ELIZABETH GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
455 E GRAND RIVER AVE, SUITE 102, BRIGHTON, MI 48116-1551
(810) 360-0806
(844) 809-2246
Mailing address
455 E GRAND RIVER AVE, SUITE 102, BRIGHTON, MI 48116-1551
(810) 360-0806
(844) 809-2246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011484
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01343534
RAILROAD MEDICARE
MI
Enumeration date
02/17/2009
Last updated
06/27/2016
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