Provider Demographics
NPI:1275707044
Name:GILBERT, LANAI JOYCE ANNE (MS, PT)
Entity Type:Individual
Prefix:
First Name:LANAI
Middle Name:JOYCE ANNE
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:LANAI
Other - Middle Name:JOYCE ANNE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PT
Mailing Address - Street 1:113 E WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-2360
Mailing Address - Country:US
Mailing Address - Phone:989-729-4293
Mailing Address - Fax:989-723-2270
Practice Address - Street 1:113 E WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-2360
Practice Address - Country:US
Practice Address - Phone:989-729-4293
Practice Address - Fax:989-723-2270
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011955225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist