Provider Demographics
NPI:1558187476
Name:GALAN MUNIN, INGRID MARIA
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:MARIA
Last Name:GALAN MUNIN
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 1:63 KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5217
Mailing Address - Country:US
Mailing Address - Phone:101-390-1124
Mailing Address - Fax:
Practice Address - Street 1:63 KNOLLWOOD DR
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5217
Practice Address - Country:US
Practice Address - Phone:101-390-1124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No252Y00000XAgenciesEarly Intervention Provider Agency