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Individual

JANNETH GALLOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 LOWER NOTCH RD # A-3, LITTLE FALLS, NJ 07424-1802
(973) 837-6600
Mailing address
39 TICHENOR ST, NEWARK, NJ 07102-3315

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00432500
NJ

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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