Provider Demographics
NPI:1700854155
Name:WERNER, GISELLE F (PT)
Entity Type:Individual
Prefix:MRS
First Name:GISELLE
Middle Name:F
Last Name:WERNER
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 1:585 KENWOOD DR SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32968-4021
Mailing Address - Country:US
Mailing Address - Phone:772-321-0172
Mailing Address - Fax:772-299-4295
Practice Address - Street 1:585 KENWOOD DR SW
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32968-4021
Practice Address - Country:US
Practice Address - Phone:772-321-0172
Practice Address - Fax:772-299-4295
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14614225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist