Individual
ANTHONY GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 JOE CLIFTON DR, PADUCAH, KY 42001-3747
(270) 709-2784
Mailing address
9610 MELDALE DR, WEST PADUCAH, KY 42086-9431
(270) 217-9113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134181
KY
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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