Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 5201001348 | MI |
NPI | 1124190822 |
---|---|
Provider Name | Mrs. Catherine Mary Gaty |
First Address | Allen Park, MI 48101-1501 |
Second Address | Wyandotte, MI 48192-5937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |