Provider Demographics
NPI:1962655498
Name:GALATRO, DIANE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:
Last Name:GALATRO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6525 160TH ST APT 22C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365-2542
Mailing Address - Country:US
Mailing Address - Phone:718-969-5325
Mailing Address - Fax:
Practice Address - Street 1:6525 160TH ST APT 22C
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-2542
Practice Address - Country:US
Practice Address - Phone:718-969-5325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012389225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist