Individual
CATHERINE GERCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1532 CALUMET AVE, DYER, IN 46311-1588
(219) 515-4700
Mailing address
3716 216TH ST APT 1, MATTESON, IL 60443-3739
(708) 446-0553
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.005426
IL
224Z00000X
Occupational Therapy Assistant
Primary
32003506A
IN
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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