Provider Demographics
NPI:1811278930
Name:PERELMUTER, GABRIELLE (MOT OTR/L)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:
Last Name:PERELMUTER
Suffix:
Gender:F
Credentials:MOT OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 TAMAL PLZ STE 505
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1184
Mailing Address - Country:US
Mailing Address - Phone:415-531-3027
Mailing Address - Fax:
Practice Address - Street 1:500 TAMAL PLZ STE 505
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1184
Practice Address - Country:US
Practice Address - Phone:415-531-3027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8808225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics