Provider Demographics
NPI:1447361936
Name:GERBER, DARREN SCOTT (PT)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:SCOTT
Last Name:GERBER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67A N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOSCAWEN
Mailing Address - State:NH
Mailing Address - Zip Code:03303-1237
Mailing Address - Country:US
Mailing Address - Phone:603-753-2942
Mailing Address - Fax:603-753-2944
Practice Address - Street 1:67A N MAIN ST
Practice Address - Street 2:
Practice Address - City:BOSCAWEN
Practice Address - State:NH
Practice Address - Zip Code:03303
Practice Address - Country:US
Practice Address - Phone:603-753-2942
Practice Address - Fax:603-753-2944
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2997225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist