Individual provider · Type 1 NPI

Jenelle M. Gallardo

Occupational Therapy Assistant · Syracuse, NY

NPI number 1619007259 Active

Practice location

600 S Wilbur Ave
Syracuse, NY 13204-2730

Call (315) 432-0351 Map

Fax (315) 476-7446

Mailing address

607 Fern Rd
Syracuse, NY 13219-2217

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X005838 (NY)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1619007259

Jenelle M. Gallardo's National Provider Identifier is 1619007259, issued on Mar 6, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.