National Provider Identifier

Jaylen Galloway

Jaylen Galloway is listed in the NPPES registry with a primary specialty of Occupational Therapist in Newark, NY and a listed phone number of (315) 331-5282.

NPI 1710633169Newark, NYOccupational Therapist

Profile Overview

NPI
1710633169
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
February 24, 2022
Last Updated
February 24, 2022

Practice Location

  • 208 Ny-88
  • Newark, NY 14513

Phone: (315) 331-5282

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1710633169
Entity Type
Individual
Last Name
Galloway
First Name
Jaylen
Mailing Street Address
208 Ny-88
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513
Mailing Country
US
Practice Street Address
208 Ny-88
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513
Practice Country
US
Practice Phone
(315) 331-5282
Enumeration Date
February 24, 2022
Last Updated
February 24, 2022
Sex
Female
Sole Proprietor
No
Certification Date
February 12, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)