Individual
GWEN M SCHUPBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 110TH ST, OTTOSEN, IA 50570-8501
(515) 341-3851
Mailing address
209 110TH ST, OTTOSEN, IA 50570-8501
(515) 341-3851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01046
IA
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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