Provider Demographics
NPI:1942511704
Name:GALLARDO, DONNA BARCELONA (OTR/L, CDP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:BARCELONA
Last Name:GALLARDO
Suffix:
Gender:F
Credentials:OTR/L, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16757 MURPHY AVE
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-9732
Mailing Address - Country:US
Mailing Address - Phone:201-993-7096
Mailing Address - Fax:
Practice Address - Street 1:1160 COCHRANE RD
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-9354
Practice Address - Country:US
Practice Address - Phone:201-993-7096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-27
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11426225X00000X
NY0144270-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist