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NPI Code Detail

MEDICARE: DR. GABRIELLE GIANELLA PT, DPT

MEDICARE: DR. GABRIELLE GIANELLA PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1266193TX

General Provider Information

NPI Number : 1508223454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIELLE GIANELLA PT, DPT
Provider Business Mailing Address
First Line : 5703 ABILENE TRL
Second Line :
City : AUSTIN
State : TX
Zip : 78749-2112
Country : US
Telephone Number : 512-905-5588
Fax Number :
Provider Business Practice Location Address
First Line : 841 RICE RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78220-3513
Country : US
Telephone Number : 210-648-0101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2016
Last Update Date : 01/23/2016

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