Individual
MOLLY GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
1906 FAIRVIEW AVE STE 330, CALDWELL, ID 83605-5425
(208) 385-3680
(208) 385-3681
Mailing address
1906 W FAIRVIEW AVE, CALDWELL, ID 83605
(208) 385-3680
(208) 385-3681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1574
ID
Other
Enumeration date
03/23/2016
Last updated
06/25/2019
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