Individual
ANTONIA GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2242 WRIGHT ST, BLAIR, NE 68008-1148
(563) 212-0166
Mailing address
15409 BONDESSON ST, BENNINGTON, NE 68007-7484
(563) 212-0166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1601
NE
225X00000X
Occupational Therapist
2187
IA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/14/2013
Last updated
11/12/2021
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