Individual
GABRIELLE LAUDERDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT016380
GA
225100000X
Physical Therapist
Primary
PTL81055
MA
Other
Enumeration date
12/07/2022
Last updated
04/30/2025
Update your record
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