Ms Gabriela Garganta Antao, | |
4011 Big Horn Rd # 6h, Vail, CO 81657-4995 | |
(908) 720-6074 | |
Not Available |
Full Name | Ms Gabriela Garganta Antao |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 4011 Big Horn Rd # 6h, Vail, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568875961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 41YS00677600 (New Jersey) | Secondary |
235Z00000X | Speech-language Pathologist | 0001692 (Colorado) | Primary |
Provider Name | Gabriela Antao Slp Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700383361 PECOS PAC ID: 4385071471 Enrollment ID: O20200302002445 |
Mailing Address | Practice Location Address |
---|---|
Ms Gabriela Garganta Antao, 4011 Big Horn Rd # 6h, Vail, CO 81657-4995 Ph: (908) 720-6074 | Ms Gabriela Garganta Antao, 4011 Big Horn Rd # 6h, Vail, CO 81657-4995 Ph: (908) 720-6074 |
Devon Blitz, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 181 W Meadow Dr, Vail, CO 81657 Phone: 310-963-3004 | |
Ms. Elizabeth J Neal, M.A., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 180 South Frontage Road West, Vail, CO 81657 Phone: 970-476-2451 | |
Gabriela Antao Slp Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4011 Big Horn Rd # 6h, Vail, CO 81657 Phone: 908-720-6074 |