Individual
AMIE LEIGH GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2741 N SALISBURY ST,, WEST LAFAYETTE, IN 47901
(317) 760-5346
Mailing address
213 N 11TH ST, LAFAYETTE, IN 47901-1509
(317) 760-5346
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005659A
IN
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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