Individual
MRS. MARY MISTRETTA GAGLIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1050 MEDICAL CENTER BLVD, MARRERO, LA 70072-3144
(504) 347-0777
(504) 349-9045
Mailing address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11548
LA
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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