Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 7419 | NC |
NPI | 1073597779 |
---|---|
Provider Name | Mr. Christopher Cyril Gabriel |
First Address | Charlotte, NC 28209-3239 |
Second Address | Charlotte, NC 28277-3146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2005 |
Last Update Date | 13/05/2010 |