Individual
GINA GRACE ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7300
Mailing address
172 AVERYVILLE RD, SAINT MARYS, PA 15857-3043
(814) 594-4208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006251
PA
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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