Provider Demographics
NPI:1508042565
Name:CARLEY, GERENA S (OT)
Entity Type:Individual
Prefix:
First Name:GERENA
Middle Name:S
Last Name:CARLEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:GERENA
Other - Middle Name:KAYE
Other - Last Name:STEEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 MEDICAL PKWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7829
Mailing Address - Country:US
Mailing Address - Phone:972-888-7232
Mailing Address - Fax:972-888-7284
Practice Address - Street 1:13505 WEBB CHAPEL RD
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-5074
Practice Address - Country:US
Practice Address - Phone:972-241-3955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106914225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist