IVY GABRIEL PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1023610706- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 11850 SW ALLEN BLVD, BEAVERTON, OR, 970054805
- Phone
- (206) 355-9261
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #9458