Provider Demographics
NPI:1659694255
Name:GABELMAN, GEORGE III (PTA)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:GABELMAN
Suffix:III
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 SEA PLUM DR APT 101
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6315
Mailing Address - Country:US
Mailing Address - Phone:561-676-6534
Mailing Address - Fax:
Practice Address - Street 1:116 SEA PLUM DR APT 101
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6315
Practice Address - Country:US
Practice Address - Phone:561-676-6534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 20846225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant