Individual
GABRIEL VANDORAN BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
801 N STATE ST, GREENFIELD, IN 46140-1270
(317) 468-4472
Mailing address
801 N STATE ST, GREENFIELD, IN 46140-1270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05016060A
IN
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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