Individual
GABRIEL JUSTIN DIMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
8300 HEALTH PARK STE 127, RALEIGH, NC 27615-4731
(919) 845-6160
Mailing address
16 MAYBROOK RD STE D, CAMPBELL HALL, NY 10916-2741
(845) 636-4344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19727
NC
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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