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Individual

GABRIELLE MOIRA ELTANAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
16341 MUESCHKE RD STE 150, CYPRESS, TX 77433-5218
(832) 334-5194
Mailing address
5531 GRANDWOOD LN, KATY, TX 77450-3539

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122532
TX
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
122532
TX

Other

Enumeration date
03/16/2022
Last updated
03/21/2022
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