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Individual

ELISA O GALVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3001 S JACKSON ST, SAN ANGELO, TX 76904-5129
(325) 223-6300
(325) 793-3587
Mailing address
4601 HARTFORD ST, ABILENE, TX 79605-4603
(325) 793-3400
(325) 793-3587

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122536
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
122536
COMMERCIAL
TX
05
122536
TX
Enumeration date
03/08/2022
Last updated
03/08/2022
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