| Doctor Name: | DR. GABRIELLE STAR WALKER |
| NPI Number: | 1346664448 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | P14706 |
| Business Practice Address: | 252 Latitude Ln Suite 103 Lake Wylie, SC - 297108150 |
| Business Phone Number: | 8038180218 |
| Business Fax Number: | |
| Mailing Address: | 956 Autumn Glen Ct, CLOVER |
| State: | SC |
| Postal Code: | 297100107 |
| Phone Number: | 8032405502 |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2014 |
| NPI Last Update Date: | 06/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | P14706 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |