Individual
HEATHER D GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
426 S CAPITOL AVE, CORYDON, IN 47112-1014
(812) 734-1784
(812) 734-1784
Mailing address
426 S CAPITOL AVE, CORYDON, IN 47112-1014
(812) 734-1784
(812) 734-1784
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007041A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200447490A
—
IN
05
—
200671420
—
IN
Enumeration date
04/10/2007
Last updated
05/06/2008
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