Individual
GAYLE TABOTABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 GALLOPING RD, ROUND ROCK, TX 78681-4157
(512) 341-9991
(512) 341-0019
Mailing address
11 GALLOPING RD, ROUND ROCK, TX 78681-4157
(512) 341-9991
(512) 341-0019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118189
TX
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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