Individual
MIKAELAH GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7201 HAPPY HOLLOW RD STE 202B, TRUSSVILLE, AL 35173-2543
(205) 508-2279
(205) 661-8254
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1323794
TX
225100000X
Physical Therapist
Primary
PTH10501
AL
Other
Enumeration date
08/20/2019
Last updated
10/28/2024
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