Individual
MR. GABRIEL PETERAMBROSE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS
Contact information
Practice address
6620 E MCKELLIPS RD STE 105, MESA, AZ 85215-2867
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-012504
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240618
—
AZ
Enumeration date
12/19/2005
Last updated
01/18/2023
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