Individual
MRS. GABRIELE D. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3211 HANCOCK DR, AUSTIN, TX 78731-5427
(512) 533-9313
(512) 533-9317
Mailing address
3211 HANCOCK DR, AUSTIN, TX 78731-5427
(512) 533-9313
(512) 533-9317
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1018067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T1235
BCBS PROVIDER #
TX
Enumeration date
08/04/2006
Last updated
07/08/2007
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