Provider Demographics
NPI:1053759647
Name:GALLO, ARNOLD (PT)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:GALLO
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 1:4541 SADDLEWOOD CLUB DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8722
Mailing Address - Country:US
Mailing Address - Phone:336-653-3132
Mailing Address - Fax:
Practice Address - Street 1:116 LANE DR
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:NC
Practice Address - Zip Code:27370-9343
Practice Address - Country:US
Practice Address - Phone:336-431-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP11945225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist