Provider Demographics
NPI:1508312836
Name:ARMOR, GABRIELLA (ATC)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:
Last Name:ARMOR
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4562 CARAMBOLA CIR S
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-2913
Mailing Address - Country:US
Mailing Address - Phone:954-821-6632
Mailing Address - Fax:
Practice Address - Street 1:1615 EDGEWATER DR STE 180
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5851
Practice Address - Country:US
Practice Address - Phone:407-601-6412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA6562819483202255A2300X
FLAL46192255A2300X
FLPT37561225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer