Provider Demographics
NPI:1932393303
Name:GERLACH, BETH ANNE (DPT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANNE
Last Name:GERLACH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1673 WESTGATE DR
Mailing Address - Street 2:APT 102
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-6321
Mailing Address - Country:US
Mailing Address - Phone:570-854-0597
Mailing Address - Fax:
Practice Address - Street 1:1673 WESTGATE DR
Practice Address - Street 2:APT 102
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-6321
Practice Address - Country:US
Practice Address - Phone:570-854-0597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018764225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA276140YFB7Medicare PIN