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Individual

GABRIELLE LEIGH RATHZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1800 JOHN F KENNEDY BLVD STE 1800, PHILADELPHIA, PA 19103-7434
(215) 634-9713
(215) 634-9714
Mailing address
2037 RITTENHOUSE SQ APT 2, PHILADELPHIA, PA 19103-5620
(267) 838-2163

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT027232
PA
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT027232
THE FEDERATION OF STATE BOARDS OF PHYSICAL THERAPY
PA
Enumeration date
09/18/2018
Last updated
11/02/2018
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