Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT00002369 | WA |
NPI | 1649471582 |
---|---|
Provider Name | Mrs. Holly Jo Galow |
First Address | Spokane, WA 99223-4404 |
Second Address | Spokane, WA 99204-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/07/2007 |