Healthcare Provider Details

I. General information

NPI: 1114074846
Provider Name (Legal Business Name): ROBERT FRANK GELB P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 03/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 COLLEGE PKWY
COLCHESTER VT
05446-3007
US

IV. Provider business mailing address

29 DENSMORE RD
ESSEX JUNCTION VT
05452
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-2376
  • Fax:
Mailing address:
  • Phone: 802-881-5538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0400003421
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: