Gazelka, Katherine Michelle

Gazelka, Katherine Michelle is an individual health care provider with primary practice located at 1085 Medical Center Dr , San Bernardino CA 92411-2023. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gazelka, Katherine Michelle can be contacted via phone (909) 877-6333.

Contact Information

Primary practice address
1085 Medical Center Dr San Bernardino CA 92411-2023
Phone: (909) 877-6333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 21973 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 105507 Minnesota

Profile Details

NPI number 1346750866
LBN Legal business name Gazelka, Katherine Michelle
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated Feb 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346750866 NPPES
Minnesota MEDICAID 1346750866

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