NPI 1023341294
Jenna Danielle Gallegos, COTA
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
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.