Individual
MS. HEATHER COLLEEN GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1110 7TH STREET, CUMBERLAND, WI 54829
(715) 822-6167
Mailing address
1110 7TH AVENUE, CUMBERLAND, WI 54829
(715) 822-6167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1585-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40724900
—
WI
Enumeration date
04/18/2007
Last updated
05/09/2012
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