Provider Demographics
NPI:1912906892
Name:GALANG, NILO DAVID (PT)
Entity Type:Individual
Prefix:MR
First Name:NILO
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:PO BOX 7016
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33482-7016
Mailing Address - Country:US
Mailing Address - Phone:561-251-9200
Mailing Address - Fax:888-446-0193
Practice Address - Street 1:7532 EAGLE POINT DR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3481
Practice Address - Country:US
Practice Address - Phone:561-251-9200
Practice Address - Fax:888-446-0193
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 8505225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY7649XMedicare Oscar/Certification