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NPI Code Detail

MEDICARE: MS. MARJORIE GILIBERTO PT, RN

MEDICARE:  MS. MARJORIE  GILIBERTO  PT, RN
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
1225100000XPhysical Therapist13293MA

General Provider Information

NPI Number : 1740405455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARJORIE GILIBERTO PT, RN
Provider Business Mailing Address
First Line : 893 FLORENCE RD
Second Line :
City : FLORENCE
State : MA
Zip : 01062-3667
Country : US
Telephone Number : 413-586-6399
Fax Number :
Provider Business Practice Location Address
First Line : 96 N PLEASANT ST
Second Line : SUITE 201
City : AMHERST
State : MA
Zip : 01002-1717
Country : US
Telephone Number : 413-256-1922
Fax Number : 413-256-1995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 07/08/2007

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Directions to “ MS. MARJORIE GILIBERTO PT, RN” Practice Location

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