Provider Demographics
NPI:1326284845
Name:GEBERT, MARGARET JEANETTE
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:JEANETTE
Last Name:GEBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 GRANGE RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2918
Mailing Address - Country:US
Mailing Address - Phone:610-225-2451
Mailing Address - Fax:610-964-6166
Practice Address - Street 1:21 S PINE ST
Practice Address - Street 2:
Practice Address - City:ELVERSON
Practice Address - State:PA
Practice Address - Zip Code:19520-9720
Practice Address - Country:US
Practice Address - Phone:610-286-0977
Practice Address - Fax:610-286-0986
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC007428L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396749Medicare PIN