Provider Demographics
NPI:1215366109
Name:GALLO, SYLVIA (OTL, CHT)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:GALLO
Suffix:
Gender:F
Credentials:OTL, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 DOUGLAS AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-5206
Mailing Address - Country:US
Mailing Address - Phone:407-865-7153
Mailing Address - Fax:407-865-7159
Practice Address - Street 1:801 DOUGLAS AVE
Practice Address - Street 2:STE 103
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-5206
Practice Address - Country:US
Practice Address - Phone:407-865-7153
Practice Address - Fax:407-865-7159
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2466225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist