Individual
ELLEN GERHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
(513) 695-2961
Mailing address
1091 PEPPER HILL DR, KETTERING, OH 45429-5551
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA003479
OH
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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