Individual
DIA GERDES
Active
Individual
DIA GERDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0147
NM
225X00000X
Occupational Therapist
1013
SD
225X00000X
Occupational Therapist
Primary
2300
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861853186
—
NE
Enumeration date
03/14/2016
Last updated
08/19/2026
Update your record
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