Provider Demographics
NPI:1497895692
Name:GALLE, RUTH F (OTR L CHT)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:F
Last Name:GALLE
Suffix:
Gender:F
Credentials:OTR L CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 3RD ST SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-5204
Mailing Address - Country:US
Mailing Address - Phone:540-982-2208
Mailing Address - Fax:540-982-7637
Practice Address - Street 1:1421 3RD ST SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-5204
Practice Address - Country:US
Practice Address - Phone:540-982-2208
Practice Address - Fax:540-982-7637
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119000469225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4978218Medicaid
VA496529Medicare UPIN
VA193439OtherANTHEM OT LOC 5
VA249629OtherANTHEM OT LOC 1
VA249625OtherANTHEM OT LOC 6