Individual
ALEXA BRIANNE GERDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1638 MAPLE AVE, EVANSTON, IL 60201-3602
(877) 486-4140
Mailing address
1102 WILSHIRE LN, LAKE VILLA, IL 60046-6470
(224) 639-5028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015847
IL
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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