Provider Demographics
NPI:1770138042
Name:ALAIN, GABRIEL N (PT, DPT)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:N
Last Name:ALAIN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6952 RAYMOND DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2891
Mailing Address - Country:US
Mailing Address - Phone:614-980-4595
Mailing Address - Fax:
Practice Address - Street 1:6952 RAYMOND DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2891
Practice Address - Country:US
Practice Address - Phone:614-980-4595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017432261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy