Individual
GABRIELLE STUBBLEFIELD HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
14455 CLAY TERRACE BLVD, CARMEL, IN 46032-3605
(317) 415-5747
Mailing address
14455 CLAY TERRACE BLVD, CARMEL, IN 46032-3605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013798A
IN
2255A2300X
Athletic Trainer
36002869A
IN
Other
Enumeration date
10/10/2022
Last updated
11/15/2022
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