NPI 1003581455

Alex Kenneth Gottleaber, ATP

Practitioner Other Technician Fort Worth, TX

Practice location

Address: 1101 W Vickery Blvd, Fort Worth, TX 76104-1025
Phone: (682) 885-6294
Fax: (682) 885-1135
Mailing address: PO Box 99283, Fort Worth, TX 76199-1383

Registered specialties (2)

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 91528 (TX)

Other Technician, Other providers in Texas →

Assistive Technology Practitioner Rehabilitation Counselor

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225CA2400X Licence 91528 (TX)

Other Rehabilitation Counselor providers in Texas →

Registry record

NPI: 1003581455
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2021
Record last updated: 24 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.