Jean Elizabeth Gates, OTR

NPI #1851545966 in Lodi, Wisconsin

Provider Information

NPI Number: 1851545966
Entity Type: Individual
Name: Jean Elizabeth Gates, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Nov 17, 2008
Last Updated: Nov 17, 2008

Practice Location

Address: 700 CLARK ST
City: Lodi
State: Wisconsin
ZIP Code: 53555-1010
Phone: (608) 592-3241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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