Provider Demographics
NPI:1144559832
Name:GEIRINGER-LADER, MICHELLE NICOLE
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:NICOLE
Last Name:GEIRINGER-LADER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4409 AGUALINDA BLVD
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-6211
Mailing Address - Country:US
Mailing Address - Phone:239-287-3989
Mailing Address - Fax:
Practice Address - Street 1:4409 AGUALINDA BLVD
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6211
Practice Address - Country:US
Practice Address - Phone:239-287-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist