Provider Demographics
NPI:1881426880
Name:GERING, LISA KEEBLER (OTR/L)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:KEEBLER
Last Name:GERING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:ANN
Other - Last Name:KEEBLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 MONTSALAS DR
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5286
Mailing Address - Country:US
Mailing Address - Phone:510-461-7844
Mailing Address - Fax:
Practice Address - Street 1:26619 CARMEL CENTER PL
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8656
Practice Address - Country:US
Practice Address - Phone:831-293-9899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25078225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist