Rachelle Marie Gerdom
NPI #1588258917 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1588258917
- Entity Type
- Individual
- Name
- Rachelle Marie Gerdom
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 25, 2021
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 308 N ASPEN AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-2205
- Phone
- (539) 777-0940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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