Individual
MAYRA GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4124 W 81ST PL, CHICAGO, IL 60652-2908
(773) 603-1806
Mailing address
4124 W 81ST PL, CHICAGO, IL 60652-2908
(773) 603-1806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007108
IL
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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