Provider Demographics
NPI:1992850507
Name:GALATI, JOANNE ELIZABETH (PT)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:ELIZABETH
Last Name:GALATI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:E
Other - Last Name:HOLT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3630 BUSINESS DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-2163
Mailing Address - Country:US
Mailing Address - Phone:916-919-1810
Mailing Address - Fax:530-672-0528
Practice Address - Street 1:3630 BUSINESS DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-2163
Practice Address - Country:US
Practice Address - Phone:916-919-1810
Practice Address - Fax:530-672-0528
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13103174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA13103OtherPT LICENSE #