Basic Information
| Provider Information | |||||||||
| NPI: | 1326284845 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GEBERT | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | JEANETTE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 378 GRANGE RD | ||||||||
| Address2: | |||||||||
| City: | WAYNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190872918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102252451 | ||||||||
| FaxNumber: | 6109646166 | ||||||||
| Practice Location | |||||||||
| Address1: | 21 S PINE ST | ||||||||
| Address2: | |||||||||
| City: | ELVERSON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 195209720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102860977 | ||||||||
| FaxNumber: | 6102860986 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2009 | ||||||||
| LastUpdateDate: | 07/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OC007428L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.