Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 349 | ND |
NPI | 1093857633 |
---|---|
Provider Name | Mrs. Patricia A Gerszewski |
First Address | Minot, ND 58701-3924 |
Second Address | Minot, ND 58701-3924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 08/07/2007 |