MEDICARE: NAOMI GALLOR

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	225X00000X	Occupational Therapist	OT010958	OH

General Provider Information

NPI Number	:	1689300154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI GALLOR

Provider Business Mailing Address
First Line	:	5247 WILSON MILLS RD # 126
Second Line	:
City	:	RICHMOND HTS
State	:	OH
Zip	:	44143-3016
Country	:	US
Telephone Number	:	216-223-8761
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 WARRENSVILLE CENTER RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-2632
Country	:	US
Telephone Number	:	216-223-8761
Fax Number	:

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

Provider Enumeration Date	:	07/27/2022
Last Update Date	:	07/27/2022

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Directions to “ NAOMI GALLOR ” Practice Location

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