IVY GABRIEL

BEAVERTON, OR
NPI1023610706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  9458)
Enumeration Date2020-11-09
Last Update Date2020-11-09
Business Address
IVY GABRIEL PTA
11850 SW ALLEN BLVD
BEAVERTON, OR 97005-4805
Phone number: 206-355-9261
Mailing Address
IVY GABRIEL PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 206-355-9261