Provider Demographics
NPI:1487079414
Name:GERKE, FRENCH CARLSON (PT, DPT)
Entity type:Individual
Prefix:
First Name:FRENCH
Middle Name:CARLSON
Last Name:GERKE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:FRENCH
Other - Middle Name:
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 7594
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-0594
Mailing Address - Country:US
Mailing Address - Phone:252-443-0808
Mailing Address - Fax:
Practice Address - Street 1:231 N JUDD PKWY NE STE 105
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2695
Practice Address - Country:US
Practice Address - Phone:919-557-3017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14735225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist