Provider Demographics
NPI:1013528959
Name:MICHEL, GABRIELLE KARLENE (MS, OTD, OTR)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:KARLENE
Last Name:MICHEL
Suffix:
Gender:F
Credentials:MS, OTD, OTR
Other - Prefix:
Other - First Name:GABBY
Other - Middle Name:KARLENE
Other - Last Name:MICHEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, OTD, OTR
Mailing Address - Street 1:2055 PINE DR
Mailing Address - Street 2:
Mailing Address - City:FERDINAND
Mailing Address - State:IN
Mailing Address - Zip Code:47532-9406
Mailing Address - Country:US
Mailing Address - Phone:812-639-4900
Mailing Address - Fax:
Practice Address - Street 1:1900 SAINT CHARLES ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-9145
Practice Address - Country:US
Practice Address - Phone:812-482-5390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31007159A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist