Individual
GABRIEL LEE ROUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
2520 VALLEY DR, POINT PLEASANT, WV 25550-2031
(304) 675-8639
Mailing address
1909 MOUNT VERNON AVE, POINT PLEASANT, WV 25550-1910
(304) 593-4589
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT. 004085
OH
Other
Enumeration date
09/26/2013
Last updated
09/18/2019
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