Organization
GABRIELA ANTAO SLP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GABRIELA GARGANTA ANTAO M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(908) 720-6074
Entity
Organization
Contact information
Practice address
4011 BIG HORN RD # 6H, VAIL, CO 81657-4995
(908) 720-6074
Mailing address
4011 BIG HORN RD # 6H, VAIL, CO 81657-4995
(908) 720-6074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001692
CO
Other
Enumeration date
04/10/2018
Last updated
12/12/2018
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