Individual
ELIZABETH LAYNE GERNERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5550 S SHORE DR, CHICAGO, IL 60637-5051
(773) 753-4100
Mailing address
348 MOCKINGBIRD VALLEY RD, LOUISVILLE, KY 40207-1363
(502) 807-5696
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013883
IL
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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