Individual
LANA JO GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
469 STATE HIGHWAY 7, BROOMFIELD, CO 80023-8965
(720) 777-1340
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0012942
CO
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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