Brooks, Gabriel Peterambrose
Brooks, Gabriel Peterambrose is an individual health care provider with primary practice located at 6620 E Mckellips Rd Ste 105 , Mesa AZ 85215-2867. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Brooks, Gabriel Peterambrose can be contacted via phone (602) 648-5444.Contact Information
Primary practice address
6620 E Mckellips Rd Ste 105
Mesa AZ 85215-2867
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | LPT-012504 | Arizona |
Profile Details
| NPI number | 1144206525 |
|---|---|
| LBN Legal business name | Brooks, Gabriel Peterambrose |
| Credentials | PT, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jan 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144206525 | NPPES |
| Arizona | MEDICAID | 240618 |
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