Individual
MS. LISA GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4509 BROAD BLVD, BELTSVILLE, MD 20705-1516
(301) 937-4465
Mailing address
4509 BROAD BLVD, BELTSVILLE, MD 20705-1516
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3189
MD
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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