Healthcare Provider Details

I. General information

NPI: 1639342033
Provider Name (Legal Business Name): MARLA GELMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2008
Last Update Date: 06/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1549 GREY LN
WARMINSTER PA
18974-1876
US

IV. Provider business mailing address

1549 GREY LN
WARMINSTER PA
18974-1876
US

V. Phone/Fax

Practice location:
  • Phone: 267-266-6274
  • Fax:
Mailing address:
  • Phone: 267-266-6274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC010330
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: