Healthcare Provider Details

I. General information

NPI: 1083269302
Provider Name (Legal Business Name): GABRIELA YESENIA SANCHEZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2019
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 NW 16TH AVE
GAINESVILLE FL
32601-4674
US

IV. Provider business mailing address

1203 NW 16TH AVE
GAINESVILLE FL
32601-4674
US

V. Phone/Fax

Practice location:
  • Phone: 352-373-7337
  • Fax:
Mailing address:
  • Phone: 352-373-7337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: