Provider Demographics
NPI:1457796443
Name:GALANG, NELSON DAVID (PT)
Entity type:Individual
Prefix:
First Name:NELSON
Middle Name:DAVID
Last Name:GALANG
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 BUENA VISTA AVE E STE A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-4164
Mailing Address - Country:US
Mailing Address - Phone:415-297-7158
Mailing Address - Fax:
Practice Address - Street 1:483 BUENA VISTA AVE E STE A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-4164
Practice Address - Country:US
Practice Address - Phone:415-297-7158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21925225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist