Provider Demographics
NPI:1942324975
Name:LAMBERT, GERARD JOESPH (OTR)
Entity Type:Individual
Prefix:MR
First Name:GERARD
Middle Name:JOESPH
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:JERRY
Other - Middle Name:JOESPH
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:572 CAMBRIDGE ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1115
Mailing Address - Country:US
Mailing Address - Phone:161-794-5419
Mailing Address - Fax:
Practice Address - Street 1:640 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1116
Practice Address - Country:US
Practice Address - Phone:617-497-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2088225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation