Provider Demographics
NPI:1174710420
Name:GIAMBA, GIOIA (OT)
Entity type:Individual
Prefix:
First Name:GIOIA
Middle Name:
Last Name:GIAMBA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 HEATHERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1958
Mailing Address - Country:US
Mailing Address - Phone:267-382-0499
Mailing Address - Fax:
Practice Address - Street 1:37 E GERMANTOWN PIKE
Practice Address - Street 2:SUITE 201
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1558
Practice Address - Country:US
Practice Address - Phone:610-941-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC-005181-L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist