Individual
AMY GEHRIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 HERITAGE CT SW, OLYMPIA, WA 98502-6046
(360) 810-1547
Mailing address
PO BOX 6286, OLYMPIA, WA 98507-6286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
OTHER
—
Enumeration date
08/03/2021
Last updated
07/23/2022
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