Healthcare Provider Details

I. General information

NPI: 1629934633
Provider Name (Legal Business Name): GABRIELLA WERNIK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 W SAN ANGELO ST
GILBERT AZ
85233-2923
US

IV. Provider business mailing address

1821 W SAN ANGELO ST
GILBERT AZ
85233-2923
US

V. Phone/Fax

Practice location:
  • Phone: 602-339-0292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number034573
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: