Provider Demographics
NPI:1295904621
Name:GABLE, ANNA (PT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:GABLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6191 N STATE HIGHWAY 161
Mailing Address - Street 2:SUITE 650
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2246
Mailing Address - Country:US
Mailing Address - Phone:972-812-3299
Mailing Address - Fax:972-812-3283
Practice Address - Street 1:6191 N STATE HIGHWAY 161
Practice Address - Street 2:SUITE 650
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2246
Practice Address - Country:US
Practice Address - Phone:972-812-3299
Practice Address - Fax:972-812-3283
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1167858225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist