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NPI Code Detail

MEDICARE: NATASHA NICOLE GERLACH OTA

MEDICARE: NATASHA NICOLE GERLACH OTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant19368FL
2224Z00000XOccupational Therapy Assistant212811TX

General Provider Information

NPI Number : 1508567660
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA NICOLE GERLACH OTA
Provider Business Mailing Address
First Line : 3813 HOLLAND DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78418-3069
Country : US
Telephone Number : 361-688-4494
Fax Number :
Provider Business Practice Location Address
First Line : 801 CANTWELL LN
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78408-2605
Country : US
Telephone Number : 361-400-0320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2023
Last Update Date : 03/15/2023

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Directions to “ NATASHA NICOLE GERLACH OTA” Practice Location

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