Individual
GALLA BONANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1050 MEDICAL CENTER BLVD, MARRERO, LA 70072-3144
(504) 347-0777
Mailing address
106 N GATEHOUSE DR APT R, METAIRIE, LA 70001-7509
(504) 284-1146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
323690
LA
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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