Individual
KATHERINE MICHELLE GAZELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1085 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-2023
(909) 877-6333
Mailing address
30041 TESSIER APT 292, LAGUNA NIGUEL, CA 92677-8912
(218) 255-2725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
105507
MN
225X00000X
Occupational Therapist
Primary
21973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346750866
—
MN
Enumeration date
10/10/2017
Last updated
02/12/2021
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