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-- FAITH DANETTE GABRIELSON -- LPTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1780881656
Provider Type
Individual Provider (NPI-1)
Credentials
LPTA
Status
Active

Contact & Location

Address
11325 NE WEIDLER ST, PORTLAND, OR, 972201950
Phone
(503) 251-3776

Specialties & Taxonomies

Physical Therapy Assistant Primary License: OR #7364

All Addresses

MAILING

860 NW ANGELINE AVE

GRESHAM, OR, 970305326

(360) 616-0924

LOCATION

11325 NE WEIDLER ST

PORTLAND, OR, 972201950

(503) 251-3776