Provider Demographics
NPI:1962680975
Name:GILBERTSEN, MONICA H (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:H
Last Name:GILBERTSEN
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:PO BOX 1471
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-1471
Mailing Address - Country:US
Mailing Address - Phone:704-747-3788
Mailing Address - Fax:704-827-4086
Practice Address - Street 1:109 MARK TWAIN CT
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NC
Practice Address - Zip Code:28120-1597
Practice Address - Country:US
Practice Address - Phone:704-747-3788
Practice Address - Fax:704-827-4086
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5838225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist