Athanaze, Gaelen
Athanaze, Gaelen is an individual health care provider with primary practice located at 36065 Santa Fe Ave , Fort Hood TX 76544-5060. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Athanaze, Gaelen can be contacted via phone (915) 742-2181.Contact Information
Primary practice address
36065 Santa Fe Ave
Fort Hood TX 76544-5060
Phone: (915) 742-2181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1368407 | Texas |
Profile Details
| NPI number | 1750058699 |
|---|---|
| LBN Legal business name | Athanaze, Gaelen |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2021 |
| Last updated | Nov 1st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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