Provider Demographics
NPI:1376970970
Name:GERARD, DEBORAH MARGARET (PT)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:MARGARET
Last Name:GERARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 EAST RD
Mailing Address - Street 2:
Mailing Address - City:ALFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01266-9726
Mailing Address - Country:US
Mailing Address - Phone:413-528-1868
Mailing Address - Fax:
Practice Address - Street 1:31 WILLIAMSTOWN RD.
Practice Address - Street 2:GREYLOCK PHYSICAL THERAPY
Practice Address - City:LANESBORO
Practice Address - State:MA
Practice Address - Zip Code:01237
Practice Address - Country:US
Practice Address - Phone:413-442-7007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20301225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist