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NPI Code Detail

MEDICARE: SUZANNA GERARD

MEDICARE:   SUZANNA  GERARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0119011184VA
2225X00000XOccupational Therapist24370CA

General Provider Information

NPI Number : 1497691844
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNA GERARD
Provider Business Mailing Address
First Line : 3540 VICTORY BLVD
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-3640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3540 VICTORY BLVD
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-3641
Country : US
Telephone Number : 484-823-5465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 05/29/2026

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Directions to “ SUZANNA GERARD ” Practice Location

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