Provider Demographics
NPI:1174071443
Name:STREISFELD, GABRIEL (DPT)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:STREISFELD
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 ERWIN RD # DUMC3965
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4699
Mailing Address - Country:US
Mailing Address - Phone:919-684-1843
Mailing Address - Fax:919-681-3431
Practice Address - Street 1:2301 ERWIN RD DUMC 3965
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-684-1843
Practice Address - Fax:919-681-3431
Is Sole Proprietor?:No
Enumeration Date:2016-09-15
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16626225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist