Organization
MLG PHYSICAL THERAPY PLLC
Active
Other names
Active Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOUISE GALLEGOS MPT (OWNER/ PHYSICAL THERAPIST)
(317) 557-2334
Entity
Organization
Contact information
Practice address
1824 HIGHWAY 30 E, DENISON, IA 51442-2101
(712) 393-7000
(712) 393-7001
Mailing address
PO BOX 455, CARROLL, IA 51401-0455
(712) 393-7000
(712) 393-7001
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/17/2014
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