Individual
RENE GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1911 OAK PARK BLVD, PLEASANT HILL, CA 94523-4601
(925) 935-6630
Mailing address
3206 MOUNT DIABLO ST, CONCORD, CA 94518-1148
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48778
CA
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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