Healthcare Provider Details

I. General information

NPI: 1235376989
Provider Name (Legal Business Name): ANN RITA GEBHARD MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2009
Last Update Date: 01/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2564 OAKVIEW DR
ROCHESTER NY
14617-3240
US

IV. Provider business mailing address

2564 OAKVIEW DR
ROCHESTER NY
14617-3240
US

V. Phone/Fax

Practice location:
  • Phone: 585-259-3445
  • Fax: 585-266-3371
Mailing address:
  • Phone: 585-259-3445
  • Fax: 585-266-3371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number2275
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: