NPI | 1184194375 |
---|---|
Former Name | LAURA J GERTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 022995) |
Additional Taxonomies | 225X00000X Occupational Therapist |
225X00000X Occupational Therapist (Licence: MA 14450) | |
Enumeration Date | 2018-11-29 |
Last Update Date | 2025-06-09 |