Provider Demographics
NPI:1720313984
Name:METZGER, GABRIEL (PT, DPT)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:METZGER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:GABE
Other - Middle Name:
Other - Last Name:METZGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3727 BUCHANAN STREET
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-1779
Mailing Address - Country:US
Mailing Address - Phone:415-614-0590
Mailing Address - Fax:415-593-7974
Practice Address - Street 1:810 COLLEGE AVE.
Practice Address - Street 2:SUITE 6
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904-2532
Practice Address - Country:US
Practice Address - Phone:415-413-4711
Practice Address - Fax:415-259-4042
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35861225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist