Provider Demographics
NPI:1740861475
Name:GEIBEL, NOREEN SLAMON (MSPT)
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:SLAMON
Last Name:GEIBEL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:NOREEN
Other - Middle Name:
Other - Last Name:SLAMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:822 FOREST LN
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2806
Mailing Address - Country:US
Mailing Address - Phone:215-284-2011
Mailing Address - Fax:
Practice Address - Street 1:822 FOREST LN
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-2806
Practice Address - Country:US
Practice Address - Phone:215-284-2011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0154072251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics