Individual ProviderGabrielle C Etchegaray JacksonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address505 N Euclid St Ste 680, Anaheim, CA 92801-5509(714) 780-0010PECOS EnrollmentBased on the most recent information from CMS, provider Gabrielle C Etchegaray Jackson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1760265565Provider TypeIndividualFull NameJackson, Gabrielle C EtchegarayCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date8/15/2023Last Updated8/28/2023Contact InformationPractice LocationPractice Address505 N Euclid St Ste 680, Anaheim, CA 92801-5509Phone(714) 780-0010Fax(714) 912-8640Mailing LocationMailing Address505 N Euclid St Ste 680, Anaheim, CA 92801-5509Phone(714) 780-0010Fax(714) 912-8640Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense304655California