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NPI Code Detail

MEDICARE: JESSICA LYN GALBAVY PHYSICAL THERAPIST

MEDICARE: JESSICA LYN GALBAVY PHYSICAL THERAPIST
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 Therapist03850IA

General Provider Information

NPI Number : 1760435200
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LYN GALBAVY PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 906 ELM ST
Second Line :
City : VERMILLION
State : SD
Zip : 57069-1219
Country : US
Telephone Number : 605-310-6596
Fax Number :
Provider Business Practice Location Address
First Line : 3930 STADIUM DR
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-5166
Country : US
Telephone Number : 712-276-4325
Fax Number : 712-276-6033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/21/2007

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Directions to “ JESSICA LYN GALBAVY PHYSICAL THERAPIST” Practice Location

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