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1780046383 NPI number — COURTNEY SARA GILBERT MSOTR/L, CLT

NPI Number: 1780046383
Health Care Provider/Practitioner: COURTNEY SARA GILBERT MSOTR/L, CLT

Information about “1780046383” NPI (COURTNEY SARA GILBERT MSOTR/L, CLT) exists in 1780046383 in HTML format HTML  |  1780046383 in plain Text format TXT  |  1780046383 in PDF (Portable Document Format) PDF  |  1780046383 in an XML format XML  formats.

NPI Number : 1780046383 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780046383",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GILBERT",
    "FirstName": "COURTNEY",
    "MiddleName": "SARA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSOTR/L, CLT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2439 WILLWOOD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLORENCE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29501-3904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-777-2043",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "77 BATES ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEWISTON",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04240-7637",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-795-2122",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2016",
    "LastUpdateDate": "06/02/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT005673",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT. 4701 OT",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT2715",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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