Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist |
NPI | 1003931478 |
---|---|
Provider Name | Ms. Arlene Ann Galla |
First Address | Carlisle, PA 17013-8711 |
Second Address | Carlisle, PA 17013-3304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 08/07/2007 |