Healthcare Provider Details

I. General information

NPI: 1285898874
Provider Name (Legal Business Name): MARIE-CARMEL GEDEON BSC. PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 09/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 ST-JOSEPH BOULEVARD WEST
MONTREAL QUEBEC
H2V2N7
CA

IV. Provider business mailing address

16391 RAMSAY CIRCLE
STEWARTSTOWN PA
17363
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 514-229-3909
  • Fax: 813-973-1474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5134269
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberEL34269
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT22813
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number01298-7
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number040.0134574
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: