Provider Demographics
NPI:1972289593
Name:GALERO, CRISTINE JAMINE GALISANAO (DPT)
Entity type:Individual
Prefix:
First Name:CRISTINE JAMINE
Middle Name:GALISANAO
Last Name:GALERO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3700 GOSFORD RD STE G
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7694
Mailing Address - Country:US
Mailing Address - Phone:661-832-9737
Mailing Address - Fax:661-832-9738
Practice Address - Street 1:3700 GOSFORD RD STE G
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7694
Practice Address - Country:US
Practice Address - Phone:661-832-9737
Practice Address - Fax:661-832-9738
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
225100000X
CA304212225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist