Individual
GWEN ELLEN TOBIANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/OTR
Contact information
Practice address
W3387 STRANGE RD, IRON RIDGE, WI 53035-9649
(414) 550-5966
Mailing address
1793 COUNTY ROAD 224, FRUITHURST, AL 36262-3514
(352) 470-2805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5896
WI
Other
Enumeration date
12/29/2010
Last updated
05/16/2024
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