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NPI Code Detail

MEDICARE: GABRIELLE ELCHAAR DPT

MEDICARE: GABRIELLE ELCHAAR 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 Therapist
2225100000XPhysical TherapistPT35068FL

General Provider Information

NPI Number : 1396394532
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE ELCHAAR DPT
Provider Business Mailing Address
First Line : 8074 27TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33710-2865
Country : US
Telephone Number : 484-896-8260
Fax Number :
Provider Business Practice Location Address
First Line : 1414 59TH ST S
Second Line :
City : GULFPORT
State : FL
Zip : 33707-3352
Country : US
Telephone Number : 484-896-8260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2019
Last Update Date : 02/04/2021

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Directions to “ GABRIELLE ELCHAAR DPT” Practice Location

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