MEDICARE: KAREEN GILBERT

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	224Z00000X	Occupational Therapy Assistant	OT.008785	OH

General Provider Information

NPI Number	:	1881098150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREEN GILBERT

Provider Business Mailing Address
First Line	:	3955 ROSEMOND RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-2401
Country	:	US
Telephone Number	:	216-387-2703
Fax Number	:

Provider Business Practice Location Address
First Line	:	3955 ROSEMOND RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-2401
Country	:	US
Telephone Number	:	216-387-2703
Fax Number	:

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

Provider Enumeration Date	:	10/15/2014
Last Update Date	:	10/15/2014

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