Provider Demographics
NPI:1609524461
Name:PALFENIER-BROWN, GABRIELLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:PALFENIER-BROWN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:PALFENIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:431 S HARVEY AVE APT A
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-4811
Mailing Address - Country:US
Mailing Address - Phone:630-991-7675
Mailing Address - Fax:
Practice Address - Street 1:7604 NE 5TH AVE STE 109
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8200
Practice Address - Country:US
Practice Address - Phone:360-597-7570
Practice Address - Fax:360-597-7848
Is Sole Proprietor?:No
Enumeration Date:2022-03-11
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0154262251X0800X
CA3007032251X0800X
WAPT61386162225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic