Individual
GINA GILLITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 WARD AVE, LA CROSSE, WI 54601-7424
(608) 787-8200
Mailing address
1062 GREEN ST, ONALASKA, WI 54650-3015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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