Individual
SYLVIA GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
511 CEDAR AVE, TILLAMOOK, OR 97141-3528
(330) 412-3559
Mailing address
511 CEDAR AVE, TILLAMOOK, OR 97141-3528
(330) 412-3559
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
04654
OH
224Z00000X
Occupational Therapy Assistant
Primary
285174
OR
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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