Provider Demographics
NPI:1821872482
Name:GADBERRY, EMMA (OTR)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:GADBERRY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 SLIPKNOT ALY
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-2403
Mailing Address - Country:US
Mailing Address - Phone:870-270-2885
Mailing Address - Fax:
Practice Address - Street 1:12230 ROUNDWOOD RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3233
Practice Address - Country:US
Practice Address - Phone:410-252-0880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist