Healthcare Provider Details

I. General information

NPI: 1801871553
Provider Name (Legal Business Name): DAVID GELBER
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 STOCKTON BLVD
SACRAMENTO CA
95817-2207
US

IV. Provider business mailing address

2525 STOCKTON BLVD
SACRAMENTO CA
95817-2207
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9241
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: