NPI 1508266057
Susan Gabriel
Practice location
- Address
- 411 W Road 1 N STE a, Chino Valley, AZ 86323-5943
- Phone
- (928) 636-8521
- Fax
- (928) 636-8591
- Mailing address
- 867 Wildflower Dr, Prescott, AZ 86301-5612
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1508266057
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Sep 2014
- Record last updated
- 2 Sep 2014
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.