MEDICARE: KATHLEEN E GALLERANO DPT

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
1	225100000X	Physical Therapist	2011031112	MO
2	225100000X	Physical Therapist	1267547	TX

General Provider Information

NPI Number	:	1316211618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN E GALLERANO DPT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-6250
Fax Number	:	630-575-7450

Provider Business Practice Location Address
First Line	:	5510 ABRAMS RD STE 115
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-2099
Country	:	US
Telephone Number	:	214-265-9704
Fax Number	:	214-265-9705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2012
Last Update Date	:	03/09/2021

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Directions to “ KATHLEEN E GALLERANO DPT” Practice Location

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