Doctor Name: | JAREN MARIE PICKENS GEBHARD |
NPI Number: | 1710115258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501011698 |
Business Practice Address: | 1234 E Broomfiled A3 Mt. Pleasant, MI - 48858 |
Business Phone Number: | 9897731333 |
Business Fax Number: | 9897731303 |
Mailing Address: | Po Box 636002, LITTLETON |
State: | CO |
Postal Code: | 801636002 |
Phone Number: | 3036942295 |
Fax Number: | 3036941843 |
NPI Enumeration Date: | 06/23/2009 |
NPI Last Update Date: | 06/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501011698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |