Whalio Doctors

NPI 1023341294

Jenna Danielle Gallegos, COTA

Practitioner Occupational Therapy Assistant Laramie, WY

Practice location

Address
503 S 18th St, Laramie, WY 82070-4303
Phone
(307) 742-3728
Mailing address
1416 E Custer St Appartment a, Laramie, WY 82070-4132

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 739 (WY)

Registry record

NPI
1023341294
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Sep 2009
Record last updated
4 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.