Provider Demographics
NPI:1669616579
Name:GILBERT, LOIS ROSALIE (MSOTR/L)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:ROSALIE
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 HIGHLANDS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-9202
Mailing Address - Country:US
Mailing Address - Phone:443-528-6700
Mailing Address - Fax:
Practice Address - Street 1:1041 HIGHLANDS DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-9202
Practice Address - Country:US
Practice Address - Phone:443-528-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004613225X00000X, 225X00000X
WV1378225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist