Individual
MS. ELIZABETH GALLO ZYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1405 COACHMAN DR, WAXHAW, NC 28173-6554
(704) 846-6640
(704) 846-6640
Mailing address
1405 COACHMAN DR, WAXHAW, NC 28173-6554
(704) 846-6640
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6076
NC
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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