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Individual
KEL Z GASKIN PROCK
Active
Individual
KEL Z GASKIN PROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSR, OTR L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2713
SC
225XP0200X
Pediatric Occupational Therapist
2713
SC
Other
Enumeration date
04/23/2007
Last updated
07/31/2023
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