| Doctor Name: | LORETTA G GAMBRELL |
| NPI Number: | 1003844663 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT7388 |
| Business Practice Address: | 927 Grace Ave Panama City, FL - 324012521 |
| Business Phone Number: | 8507695371 |
| Business Fax Number: | 8508729558 |
| Mailing Address: | 927 Grace Ave, PANAMA CITY |
| State: | FL |
| Postal Code: | 324012521 |
| Phone Number: | 8507695371 |
| Fax Number: | 8508729558 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT7388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |