NPI 1023610706

Ivy Gabriel, PTA

Practitioner Physical Therapy Assistant Beaverton, OR

Practice location

Address: 11850 SW Allen Blvd, Beaverton, OR 97005-4805
Phone: (206) 355-9261
Mailing address: 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 9458 (OR)

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1023610706
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2020
Record last updated: 9 Nov 2020

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.