Individual
MIRANDA GAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
531 E WASHINGTON ST, WEST BEND, WI 53095-2531
(262) 335-4500
Mailing address
7517 W COLD SPRING RD, MILWAUKEE, WI 53220-2814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5617-26
WI
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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