MEDICARE: GABRIELLA NOELLE STUMP

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
1	225100000X	Physical Therapist	3134489	TX

General Provider Information

NPI Number	:	1265361018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA NOELLE STUMP

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-702-4389
Fax Number	:

Provider Business Practice Location Address
First Line	:	4560 W MOCKINGBIRD LN STE 110
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-5205
Country	:	US
Telephone Number	:	214-556-5108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ GABRIELLA NOELLE STUMP ” Practice Location

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