Individual
ELIZABETH GENDERNALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1027 HEALTHCARE DR, CHARLOTTE, MI 48813-1056
(517) 541-5001
Mailing address
3973 S 120TH AVE, SHELBY, MI 49455-9774
(989) 745-3971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010780
MI
Other
Enumeration date
12/15/2019
Last updated
12/15/2019
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