Nicholas Paul Gerasimoff, OTRL
Occupational Therapist in Dearborn, MI. Individual provider (NPI-1).
NPI number1285932012
StatusActive
Last updated in NPPESMar 2, 2011
Details
- NPI
- 1285932012
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Paul Gerasimoff
- Credential
- OTRL
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2011
- Last updated
- Mar 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201007912 | MI | Yes |
Practice location
22731 Newman St Ste 100bDearborn, MI 48124-2023
Phone 313-791-0616 · Fax 313-791-0632
Mailing address
12560 Jelso PlTecumseh, ONTARIO N8N4H4
Canada
Phone 519-735-1898
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All 100 Occupational Therapist providers in Dearborn · All 7,276 providers in Dearborn
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