Provider Demographics
NPI:1710962790
Name:GATSAS, CELIA (OTR/L)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:
Last Name:GATSAS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 N RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2146
Mailing Address - Country:US
Mailing Address - Phone:603-668-8441
Mailing Address - Fax:
Practice Address - Street 1:11 CONTINENTAL BLVD STE A
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4341
Practice Address - Country:US
Practice Address - Phone:603-424-1950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008244-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist