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NPI Code Detail

MEDICARE: LAURA GALLI P.T.

MEDICARE: LAURA GALLI P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist040.0002261VT

General Provider Information

NPI Number : 1154795334
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA GALLI P.T.
Provider Business Mailing Address
First Line : 44 ORANGE ST
Second Line :
City : BARRE
State : VT
Zip : 05641-4316
Country : US
Telephone Number : 802-476-6159
Fax Number :
Provider Business Practice Location Address
First Line : 98 HOSPITALITY DR
Second Line :
City : BARRE
State : VT
Zip : 05641-5360
Country : US
Telephone Number : 802-229-0308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2015
Last Update Date : 11/25/2015

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Directions to “ LAURA GALLI P.T.” Practice Location

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