Provider Demographics
NPI:1467849760
Name:CHAVEZ-OBERGFELL, GABRIELA MICHELLE (PT, DPT, MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:MICHELLE
Last Name:CHAVEZ-OBERGFELL
Suffix:
Gender:F
Credentials:PT, DPT, MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 E BARHAM DR APT 229
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-7403
Mailing Address - Country:US
Mailing Address - Phone:714-728-0069
Mailing Address - Fax:
Practice Address - Street 1:556 E BARHAM DR APT 229
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-7403
Practice Address - Country:US
Practice Address - Phone:714-728-0069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 14138225X00000X
CA291223225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist