NPI 1023762515

John L Galliano, CPEDCFO

Practitioner Pedorthist Chesapeake, VA

Practice location

Address: 433 Network Sta, Chesapeake, VA 23320-3851
Phone: (757) 892-5300

Registered specialties (2)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED4655 (VA)

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1023762515
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2022
Record last updated: 12 Mar 2025

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.