Individual
GABRIELLE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E SOUTHERN AVE, TEMPE, AZ 85282-5691
(602) 567-9881
Mailing address
1400 E SOUTHERN AVE, TEMPE, AZ 85282-5691
(602) 567-9881
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
11627A
AZ
225200000X
Physical Therapy Assistant
Primary
2135430
TX
Other
Enumeration date
06/26/2015
Last updated
01/25/2021
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