MEDICARE: GABRIELLE AWAD

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	021182	OH

General Provider Information

NPI Number	:	1366282758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE AWAD

Provider Business Mailing Address
First Line	:	6264 GALE DR
Second Line	:
City	:	SEVEN HILLS
State	:	OH
Zip	:	44131-3125
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2736 MEDINA RD STE 108
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-9801
Country	:	US
Telephone Number	:	440-382-4741
Fax Number	:

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

Provider Enumeration Date	:	05/31/2024
Last Update Date	:	04/06/2026

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Directions to “ GABRIELLE AWAD ” Practice Location

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