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Individual

GAELYN R GINGERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 W SILVER SPRING DR, GLENDALE, WI 53209-4415
(414) 228-8120
Mailing address
2130A N 62ND ST, WAUWATOSA, WI 53213-2053
(773) 742-4804

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
580727
WI

Other

Enumeration date
12/22/2021
Last updated
12/22/2021
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