Provider Demographics
NPI:1164544037
Name:GEARING, MARLENE S (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:S
Last Name:GEARING
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 SCANNELL CT
Mailing Address - Street 2:
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-4103
Mailing Address - Country:US
Mailing Address - Phone:443-939-4320
Mailing Address - Fax:
Practice Address - Street 1:913 SCANNELL CT
Practice Address - Street 2:
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085-4103
Practice Address - Country:US
Practice Address - Phone:410-510-7406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist