Provider Demographics
NPI:1801022983
Name:GALLO, DONNAMARIE FRANCES (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:DONNAMARIE
Middle Name:FRANCES
Last Name:GALLO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:349 WESTPARK LN
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-1004
Mailing Address - Country:US
Mailing Address - Phone:610-517-5051
Mailing Address - Fax:610-284-4824
Practice Address - Street 1:2700 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-4867
Practice Address - Country:US
Practice Address - Phone:610-447-9148
Practice Address - Fax:610-874-4796
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOP000508L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant