Provider Demographics
NPI:1386880094
Name:GALLEGO, CHRISTINA (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:GALLEGO
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ARGYLE PL
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2840
Mailing Address - Country:US
Mailing Address - Phone:516-766-0351
Mailing Address - Fax:
Practice Address - Street 1:11 ARGYLE PL
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-2840
Practice Address - Country:US
Practice Address - Phone:516-766-0351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020024-1208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation