Healthcare Provider Details

I. General information

NPI: 1033726377
Provider Name (Legal Business Name): MARIBETH FAITH GEE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2020
Last Update Date: 09/30/2020
Certification Date: 09/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 COULTER RD
CLIFTON SPRINGS NY
14432-1122
US

IV. Provider business mailing address

2147 COUNTY ROAD 6
PHELPS NY
14532-9534
US

V. Phone/Fax

Practice location:
  • Phone: 315-462-9561
  • Fax:
Mailing address:
  • Phone: 315-719-3374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number046248
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: