Provider Demographics
NPI:1356406227
Name:GALLETTA, CAROLE S (PT)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:S
Last Name:GALLETTA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9678 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-1604
Mailing Address - Country:US
Mailing Address - Phone:412-366-2352
Mailing Address - Fax:
Practice Address - Street 1:9678 BUCKINGHAM DR
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1604
Practice Address - Country:US
Practice Address - Phone:412-366-2352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003115L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist