Provider Demographics
NPI:1508223454
Name:GIANELLA, GABRIELLE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:GABRIELLE
Middle Name:
Last Name:GIANELLA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5703 ABILENE TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-2112
Mailing Address - Country:US
Mailing Address - Phone:512-905-5588
Mailing Address - Fax:
Practice Address - Street 1:841 RICE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78220-3513
Practice Address - Country:US
Practice Address - Phone:210-648-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-23
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1266193225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist