Healthcare Provider Details

I. General information

NPI: 1700716503
Provider Name (Legal Business Name): MORGANNE E GILBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HOSPITAL DR
YORK ME
03909-1099
US

IV. Provider business mailing address

47 BASHAN RD
EAST HADDAM CT
06423-1223
US

V. Phone/Fax

Practice location:
  • Phone: 207-363-4321
  • Fax:
Mailing address:
  • Phone: 860-614-5725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT4825
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: