Healthcare Provider Details

I. General information

NPI: 1851701585
Provider Name (Legal Business Name): BETH GELBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 05/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E SOUTHERN AVE SUITE 310
TEMPE AZ
85282-5691
US

IV. Provider business mailing address

16810 N 50TH WAY
SCOTTSDALE AZ
85254-1088
US

V. Phone/Fax

Practice location:
  • Phone: 877-279-0891
  • Fax:
Mailing address:
  • Phone: 602-689-4265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0225
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: