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NPI Code Detail

MEDICARE: MS. ALISA BETH GILBERT OTR

MEDICARE: MS. ALISA BETH GILBERT OTR
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
1225X00000XOccupational Therapist0129161NY

General Provider Information

NPI Number : 1669636999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALISA BETH GILBERT OTR
Provider Business Mailing Address
First Line : 201 W MADISON AVE
Second Line :
City : JOHNSTOWN
State : NY
Zip : 12095-2806
Country : US
Telephone Number : 518-762-4548
Fax Number : 518-736-1570
Provider Business Practice Location Address
First Line : 201 W MADISON AVE
Second Line :
City : JOHNSTOWN
State : NY
Zip : 12095-2806
Country : US
Telephone Number : 518-762-4548
Fax Number : 518-736-1570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2008
Last Update Date : 07/16/2008

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