Individual
GAYLE RENAE GUGGISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1351 BROADWAY N, FARGO, ND 58102-2694
(701) 277-7999
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 364-0611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1037
ND
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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