Individual provider · Type 1 NPI

Alex Kenneth Gottleaber, ATP

Other Technician · Fort Worth, TX

NPI number 1003581455 Active

Practice location

1101 W Vickery Blvd
Fort Worth, TX 76104-1025

Call (682) 885-6294 Map

Fax (682) 885-1135

Mailing address

PO Box 99283
Fort Worth, TX 76199-1383

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X91528 (TX)
Assistive Technology Practitioner Rehabilitation Counselor 225CA2400X91528 (TX)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1003581455

Alex Kenneth Gottleaber, ATP's National Provider Identifier is 1003581455, issued on Aug 9, 2021. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 24, 2021.