Individual provider · Type 1 NPI

Gabrielle Amanda Dismuke, M.T.

Contractor · Detroit, MI

NPI number 1366870990 Active

Practice location

7700 2nd Ave Ste 410
Detroit, MI 48202-2411

Fax (313) 338-3082

Mailing address

3739 Rivard St
Detroit, MI 48207-4740

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1366870990

Gabrielle Amanda Dismuke, M.T.'s National Provider Identifier is 1366870990, issued on Oct 16, 2013. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 16, 2013.