Provider Demographics
NPI:1902945173
Name:GEARING, ALDINE A (OT)
Entity type:Individual
Prefix:
First Name:ALDINE
Middle Name:A
Last Name:GEARING
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 1:2501 CEDAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-6649
Mailing Address - Country:US
Mailing Address - Phone:903-575-1990
Mailing Address - Fax:
Practice Address - Street 1:400 S MADISON AVE
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-4456
Practice Address - Country:US
Practice Address - Phone:903-577-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108352225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist