Individual
GABRIEL ENESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2000 W KETTLEMAN LN, LODI, CA 95242-4334
(916) 716-2034
Mailing address
2000 W KETTLEMAN LN, LODI, CA 95242-4334
(916) 716-2034
(209) 370-9095
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
34617
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
34617
CA
2251E1200X
Ergonomics Physical Therapist
34617
CA
2251G0304X
Geriatric Physical Therapist
34617
CA
2251N0400X
Neurology Physical Therapist
34617
CA
2251S0007X
Sports Physical Therapist
34617
CA
2251X0800X
Orthopedic Physical Therapist
34617
CA
Other
Enumeration date
06/28/2007
Last updated
09/29/2014
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