Individual
SUSAN GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 W ROAD 1 N, STE A, CHINO VALLEY, AZ 86323-5943
(928) 636-8521
(928) 636-8591
Mailing address
867 WILDFLOWER DR, PRESCOTT, AZ 86301-5612
(206) 271-7708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9588A
AZ
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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