Healthcare Provider Details

I. General information

NPI: 1063677078
Provider Name (Legal Business Name): ANGELA GEHRT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2008
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6808 RUSTIC WOOD CT
PLEASANT GARDEN NC
27313-9567
US

IV. Provider business mailing address

6808 RUSTIC WOOD CT
PLEASANT GARDEN NC
27313-9567
US

V. Phone/Fax

Practice location:
  • Phone: 336-303-1583
  • Fax:
Mailing address:
  • Phone: 336-317-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10018
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: