Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GABRIEL ENESCU, PT
Active Sole ProprietorGABRIEL ENESCU, PT is a Sports Medicine (PM&R) healthcare provider located in LODI, California. NPI 1912104472 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · LODI, CA
Registration Details
- NPI Number
- 1912104472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2007 (19.160102158907 yrs)
- Last Updated
- Sep 29, 2014
- Licenses
-
34617 (CA)34617 (CA)34617 (CA)34617 (CA)34617 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2000 W KETTLEMAN LNLODI, CA, 952424334Browse CA providers · Browse ZIP 95242
- Phone
- 9167162034
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
- Additional Specialty
- Ergonomics (Occupational Therapy)
- Additional Specialty
- 2251E1200X
- Additional Specialty
- Hand Therapy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.