Individual
TAMMARA M. GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10273 E 700 RD, DOVER, OK 73734-3425
(580) 791-1238
Mailing address
10273 E 700 RD, DOVER, OK 73734-3425
(580) 791-1238
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA814
OK
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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