| 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 |