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Individual
TEDDIE BELLE GENTER
Active
Individual
TEDDIE BELLE GENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
D2836598
CA
225X00000X
Occupational Therapist
Primary
117018
TX
225XP0200X
Pediatric Occupational Therapist
2009012530
MO
Other
Enumeration date
09/04/2008
Last updated
11/30/2016
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