Individual
ALEX KENNETH GOTTLEABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATP
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
91528
TX
247200000X
Other Technician
Primary
91528
TX
Other
Enumeration date
08/09/2021
Last updated
11/24/2021
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