Individual
GABRIELLE MINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
213 N MAIN ST., NORTH WALES, PA 19454
(484) 535-2880
Mailing address
213 N MAIN ST., NORTH WALES, PA 19454
(484) 535-2880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT026124
PA
Other
Enumeration date
10/03/2021
Last updated
10/15/2024
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