Doctor Name: | NICHOLAS GALLO |
NPI Number: | 1366801680 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 2305210019 |
Business Practice Address: | 52 W Shirley Ave Warrenton, VA - 201863008 |
Business Phone Number: | 5403472918 |
Business Fax Number: | 5403473869 |
Mailing Address: | 52 W Shirley Ave, WARRENTON |
State: | VA |
Postal Code: | 201863008 |
Phone Number: | 5403472918 |
Fax Number: | 5403473869 |
NPI Enumeration Date: | 02/15/2016 |
NPI Last Update Date: | 02/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305210019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |