Provider Demographics
NPI:1386940310
Name:MANOEL, GABRIEL G (DPT)
Entity type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:G
Last Name:MANOEL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8401 COLESVILLE RD
Mailing Address - Street 2:STE 50
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:304-588-7888
Mailing Address - Fax:301-588-3419
Practice Address - Street 1:8401 COLESVILLE RD
Practice Address - Street 2:STE 50
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-588-7888
Practice Address - Fax:301-588-3419
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD23397225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist