Miranda Gazza, OTR

NPI #1013377670 in West Bend, Wisconsin

Provider Information

NPI Number: 1013377670
Entity Type: Individual
Name: Miranda Gazza, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Feb 25, 2016
Last Updated: Feb 25, 2016

Practice Location

Address: 531 E WASHINGTON ST
City: West Bend
State: Wisconsin
ZIP Code: 53095-2531
Phone: (262) 335-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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