Individual
MS. GWENDOLYN G GARRETT
Active
Individual
MS. GWENDOLYN G GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAOTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001200
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154551935
BCBS (OCCUPATIONAL THERAPY)
VA
05
—
1255429122
—
VA
01
—
7150820
AETNA
VA
01
—
P00733181
MEDICARE RAILROAD
VA
Enumeration date
10/10/2006
Last updated
09/23/2009
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