Provider Demographics
NPI:1487983276
Name:GALANG, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:GALANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 07382
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-0382
Mailing Address - Country:US
Mailing Address - Phone:239-225-0129
Mailing Address - Fax:239-225-0575
Practice Address - Street 1:13710 METROPOLIS AVE
Practice Address - Street 2:UNIT 110
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-7144
Practice Address - Country:US
Practice Address - Phone:239-225-0129
Practice Address - Fax:239-225-0575
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT0006118225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist