Mary Ellen Gusakova

NPI #1497455455 in Rocklin, California

Provider Information

NPI Number: 1497455455
Entity Type: Individual
Name: Mary Ellen Gusakova
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 8, 2023
Last Updated: Mar 8, 2023

Practice Location

Address: 6508 LONETREE BLVD STE 104
City: Rocklin
State: California
ZIP Code: 95765-5885
Phone: (916) 287-1914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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