Individual
GABRIELLE RAE KETZENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3455 LUTHERAN PKWY BLDG 8, WHEAT RIDGE, CO 80033-6028
(303) 456-6000
Mailing address
1055 25TH ST, DENVER, CO 80205-2838
(970) 409-9257
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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