Provider Demographics
NPI:1689863003
Name:GALANTINO, MARY LOU (PT)
Entity Type:Individual
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First Name:MARY LOU
Middle Name:
Last Name:GALANTINO
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Gender:F
Credentials:PT
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Mailing Address - Street 1:200 HYGEIA DR STE 2300
Mailing Address - Street 2:CHRISTIANA CARE FINANCE DEPT
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-623-7228
Mailing Address - Fax:302-623-7425
Practice Address - Street 1:1401 FOULK RD
Practice Address - Street 2:CHRISTIANA CARE PHYSICAL THERAPY PLUS
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-2763
Practice Address - Country:US
Practice Address - Phone:302-477-4305
Practice Address - Fax:302-477-4306
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
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Provider Licenses
StateLicense IDTaxonomies
DEJ1-0001163225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist