Individual
MRS. MICHELLE RENEE GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3501 DAKOTA AVE, SOUTH SIOUX CITY, NE 68776-3641
(402) 494-3440
(402) 494-3441
Mailing address
2714 S CEDAR ST, SIOUX CITY, IA 51106-4138
(402) 494-3440
(402) 494-3441
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
733
NE
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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