Provider Demographics
NPI:1467603324
Name:GALESKI, RENEE (LMT)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:
Last Name:GALESKI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:GALESKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:1693 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2035
Mailing Address - Country:US
Mailing Address - Phone:407-644-3857
Mailing Address - Fax:
Practice Address - Street 1:1693 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2035
Practice Address - Country:US
Practice Address - Phone:407-644-3857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA10633174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist