| Doctor Name: | MS. NICOLE LYNN GERGICH |
| NPI Number: | 1164424842 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT, CLT-LANA |
| License Number: | PT012155L |
| Business Practice Address: | 8901 Wisconsin Ave Bldg 10, 4 West Bethesda, MD - 208890001 |
| Business Phone Number: | 3012956372 |
| Business Fax Number: | |
| Mailing Address: | 7500 Woodmont Ave, #1209 BETHESDA |
| State: | MD |
| Postal Code: | 208145361 |
| Phone Number: | 3017187338 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT012155L |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |