MEDICARE: MARGARET JEANETTE GEBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC007428L	PA

General Provider Information

NPI Number	:	1326284845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET JEANETTE GEBERT

Provider Business Mailing Address
First Line	:	378 GRANGE RD
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-2918
Country	:	US
Telephone Number	:	610-225-2451
Fax Number	:	610-964-6166

Provider Business Practice Location Address
First Line	:	21 S PINE ST
Second Line	:
City	:	ELVERSON
State	:	PA
Zip	:	19520-9720
Country	:	US
Telephone Number	:	610-286-0977
Fax Number	:	610-286-0986

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2009
Last Update Date	:	07/20/2018

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