Individual
GAIL E. REQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
65539 HIGHLAND HILLS RD, CAMBRIDGE, OH 43725-9657
(740) 432-4824
(740) 432-4824
Mailing address
PO BOX 1027, CAMBRIDGE, OH 43725-6027
(740) 432-4824
(740) 432-4824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 000432
OH
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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