Ms. Jenna Danielle Gallegos
Occupational Therapy Assistant
503 S 18th St
Laramie
, Wyoming 82070-4303
Ms. Jenna Danielle Gallegos
Occupational Therapy Assistant
503 S 18th St
Laramie
, Wyoming 82070-4303
(307) 421-3172
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Ms. Jenna Danielle Gallegos
- 1416 E Custer St Appartment A
- Laramie, WY
- Zip : 82070-4132
- Phone : (307) 421-3172
Second Address
- Ms. Jenna Danielle Gallegos
- 503 S 18th St
- Laramie, WY
- Zip : 82070-4303
- Phone : (307) 742-3728
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 739 | WY |
National Provider Identifier
| NPI | 1023341294 |
|---|---|
| Provider Name | Ms. Jenna Danielle Gallegos |
| First Address | Laramie, WY 82070-4132 |
| Second Address | Laramie, WY 82070-4303 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2009 |
| Last Update Date | 04/09/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.