# MRS. ADRIENNE TERESE GAITHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477622645
- **Gender:** F
- **Credential:** OTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 107792 | TX | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 10/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050551331 | TAX ID | TX |
| 01 | — | 8T4121 | BLUE CROSS BLUE SHEILD ID | TX |