National Provider Identifier
Serena Malia Galliano, MS OTR/L
Serena Malia Galliano, MS OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Victor, NY and a listed phone number of (585) 924-7207.
Profile Overview
- NPI
- 1710767975
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 04, 2023
- Last Updated
- August 05, 2024
Practice Location
- 590 Fishers Station Dr Ste 130
- Victor, NY 14564-9744
Phone: (585) 924-7207
Mailing Address
- 20 Ellen Polimeni Blvd Apt 508
- Canandaigua, NY 14424-2254
Specialties
- Occupational Therapist (225X00000X)
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1710767975
- Entity Type
- Individual
- Last Name
- Galliano
- First Name
- Serena
- Middle Name
- Malia
- Credential
- MS OTR/L
- Provider Other Last Name
- Johnson
- Provider Other First Name
- Serena
- Provider Other Credential Text
- MS OTR/L
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 20 Ellen Polimeni Blvd Apt 508
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-2254
- Mailing Country
- US
- Mailing Phone
- (631) 626-9642
- Practice Street Address
- 590 Fishers Station Dr Ste 130
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-9744
- Practice Country
- US
- Practice Phone
- (585) 924-7207
- Enumeration Date
- October 04, 2023
- Last Updated
- August 05, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X), Pediatric Occupational Therapist (225XP0200X)