Provider Demographics
NPI:1447658455
Name:GILBERT, PATRICIA (MMP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2652 HIDDEN VALLEY RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3915
Mailing Address - Country:US
Mailing Address - Phone:724-260-0817
Mailing Address - Fax:
Practice Address - Street 1:2652 HIDDEN VALLEY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-3915
Practice Address - Country:US
Practice Address - Phone:724-260-0817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG007166225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist