Alex Kenneth Gottleaber, ATP
Alex Kenneth Gottleaber, ATP is an Other Technician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2021.
- Licensed in
- TX
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1101 W Vickery BlvdFort Worth, TX 76104-1025
Phone: (682) 885-6294
Fax: (682) 885-1135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence 91528 (TX) |
|---|---|
| Assistive Technology Practitioner Rehabilitation Counselor | Taxonomy 225CA2400X · Licence 91528 (TX) |
Record details
| NPI number | 1003581455 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATP |
| Sole proprietor | No |
| NPI enumerated | August 9, 2021 |
| Last updated in NPPES | November 24, 2021 |
| Certification date | November 24, 2021 |
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Benjamin L Hebron, ATP
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