Individual
ANNETTE GERCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1200 W COLLEGE ST, LIBERTY, MO 64068-1036
(816) 781-3020
Mailing address
1200 W COLLEGE ST, LIBERTY, MO 64068-1036
(816) 781-3020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000327
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC000327
BOARD OF OCCUPATIONAL THERAPY
MO
Enumeration date
04/23/2014
Last updated
05/12/2017
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