Individual
JENNA GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
603 S 9TH AVE, HAUBSTADT, IN 47639-8235
(812) 259-1675
Mailing address
603 S 9TH AVE, HAUBSTADT, IN 47639-8235
(812) 259-1675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005323A
IN
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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