Provider Demographics
NPI:1174361091
Name:GAERTNER, BRAYLEE EILEEN (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:BRAYLEE
Middle Name:EILEEN
Last Name:GAERTNER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CORPORATE CENTER DR STE 115
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4332
Mailing Address - Country:US
Mailing Address - Phone:412-299-0704
Mailing Address - Fax:
Practice Address - Street 1:100 CORPORATE CENTER DR STE 115
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-4332
Practice Address - Country:US
Practice Address - Phone:412-299-0704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist