Organization
GABRIEL THERAPY GROUP
Active
Organization
GABRIEL THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS L MANGAN (CFO)
(407) 919-8028
Entity
Organization
Contact information
Practice address
125 S SWOOPE AVE STE 210, MAITLAND, FL 32751-5784
(321) 972-4122
(407) 542-2168
Mailing address
PO BOX 948274, MAITLAND, FL 32794-8274
(407) 919-8028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
06/02/2023
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