Provider Demographics
NPI:1871660118
Name:GAHMAN, MARCIA (LPT)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:
Last Name:GAHMAN
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:
Other - Last Name:SALMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2209 QUARRY DR
Mailing Address - Street 2:SUITE B23
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609
Mailing Address - Country:US
Mailing Address - Phone:610-678-9949
Mailing Address - Fax:610-678-9636
Practice Address - Street 1:2209 QUARRY DR
Practice Address - Street 2:SUITE B23
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609
Practice Address - Country:US
Practice Address - Phone:610-678-9949
Practice Address - Fax:610-678-9636
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008700E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1525371OtherHIGHMARK BLUE SHIELD
PA50000843OtherCAPITAL
PA076872SGAMedicare ID - Type Unspecified