Individual
MS. LUZ FERNANDA GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4309 E FLORIAN AVE, MESA, AZ 85206-2798
(480) 757-2253
Mailing address
1455 S ST PAUL, MESA, AZ 85206-3447
(520) 279-6089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9821A
AZ
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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