Provider Demographics
NPI:1366580946
Name:GIEBFRIED, JAMES ROBERT (PT, DPT, MA, CPH,MBA)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:GIEBFRIED
Suffix:
Gender:M
Credentials:PT, DPT, MA, CPH,MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-1730
Mailing Address - Country:US
Mailing Address - Phone:508-528-2367
Mailing Address - Fax:
Practice Address - Street 1:34 ROBIN RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:MA
Practice Address - Zip Code:02056-1730
Practice Address - Country:US
Practice Address - Phone:508-528-2367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5415225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist