NPI | 1407153893 |
---|---|
Former Name | ALLISON JEAN GERLACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 7097) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104027) |
Enumeration Date | 2011-02-21 |
Last Update Date | 2021-09-27 |