NPI | 1053375436 |
---|---|
Former Name | DEEDRA MARIE GERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 1058877) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 1058877) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2008-09-22 |