Carlyle, Lisa Gallego

Carlyle, Lisa Gallego is an individual health care provider with primary practice located at 2111 Spring Ct , Palm Beach Gardens FL 33410-1297. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Carlyle, Lisa Gallego can be contacted via phone (561) 707-9640.

Contact Information

Primary practice address
2111 Spring Ct Palm Beach Gardens FL 33410-1297
Phone: (561) 707-9640
Fax: (561) 557-4415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT1522 Florida

Profile Details

NPI number 1194887430
LBN Legal business name Carlyle, Lisa Gallego
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Feb 19th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194887430 NPPES
Florida MEDICAID 881082600

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