Individual
MARY LOUISE GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1205 W US HIGHWAY 30, SUITE A, CARROLL, IA 51401-3364
(712) 794-7204
(888) 746-8588
Mailing address
1205 W US HIGHWAY 30, SUITE A, CARROLL, IA 51401-3364
(712) 794-7204
(888) 746-8588
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
05006711A
IN
Other
Enumeration date
10/21/2010
Last updated
06/18/2013
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