Individual
GABRIELLE MATLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 E SAM HOUSTON PKWY S STE 215, PASADENA, TX 77505-3957
(281) 487-2786
Mailing address
1201 ENTERPRISE AVE APT 643, LEAGUE CITY, TX 77573-2985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123750
TX
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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