| Doctor Name: | MISS IRMA TRISHA GALLEGOS |
| NPI Number: | 1205095411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 030238 |
| Business Practice Address: | 11615 Queens Blvd Forest Hills, NY - 113756533 |
| Business Phone Number: | 7185510200 |
| Business Fax Number: | 7182612896 |
| Mailing Address: | 11615 Queens Blvd, FOREST HILLS |
| State: | NY |
| Postal Code: | 113756533 |
| Phone Number: | 7185510200 |
| Fax Number: | 7182612896 |
| NPI Enumeration Date: | 06/03/2008 |
| NPI Last Update Date: | 02/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 030238 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |