| Ms Candace Michelle Gallo, OTR/L | |
|
2000 E. Edgewood Dr., Suite 114, Lakeland, FL 33803 | |
| (863) 606-5948 | |
| (863) 937-9224 |
| Full Name | Ms Candace Michelle Gallo |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 12 Years |
| Location | 2000 E. Edgewood Dr., Lakeland, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063645604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT16594 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Candace Michelle Gallo, OTR/L 2000 E. Edgewood Dr., Suite 114, Lakeland, FL 33803 Ph: (863) 606-5948 | Ms Candace Michelle Gallo, OTR/L 2000 E. Edgewood Dr., Suite 114, Lakeland, FL 33803 Ph: (863) 606-5948 |
Kimberly Anne Pogue, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3037 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-866-6931 | |
Kaira Leah Bowens, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 610 E Bella Vista St, Lakeland, FL 33805 Phone: 813-435-8292 | |
Lakeland Therapy Providers, Inc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1335 Ariana St, Lakeland, FL 33803 Phone: 863-413-0802 Fax: 863-413-0812 | |
Breann Kasputis, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3317 Us Highway 98 S, Ste. 6, Lakeland, FL 33803 Phone: 863-667-3092 Fax: 863-667-3142 | |
Kerry J Coughlin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-688-1126 Fax: 863-688-1126 | |
Charlotte A Schoon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1335 Ariana St, Lakeland, FL 33803 Phone: 863-413-0802 |