Most Relevant Information
Provider Data
| NPI Number: | 1003300807 |
| Provider Name: | ANGEL GABRIEL |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 10025OTA |
Most Important Dates
| Enumeration Date: | 06/15/2018 |
| Last Updated: | 06/15/2018 |
Provider Practice Location
3387 GULF BREEZE PKWY
GULF BREEZE
FL
325633351
Practice Location Phone/Fax
| Phone: | 8509329257 |
| Fax: | 8509325989 |
Provider Mailing Location
199 TIM BOLAND RD
DEFUNIAK SPRINGS
FL
324358629
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |