Doctor Name: | MISS SUMMER ROSE GEBHART |
NPI Number: | 1033343942 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, ATC, LAT |
License Number: | 200277 |
Business Practice Address: | 1201 S Clearview Pkwy Bldg B, Ste 104 Jefferson, LA - 701211015 |
Business Phone Number: | 5048424348 |
Business Fax Number: | 5047364810 |
Mailing Address: | 1201 S Clearview Pkwy, Bldg B, Ste 104 JEFFERSON |
State: | LA |
Postal Code: | 701211015 |
Phone Number: | |
Fax Number: | 5047364810 |
NPI Enumeration Date: | 05/06/2009 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 200277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |