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Individual

CHRISTINE GOSZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1936 N MASON ST, APPLETON, WI 54914-2285
(920) 915-9354
Mailing address
1936 N MASON ST, APPLETON, WI 54914-2285
(920) 915-9354

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
12987
FL
225X00000X
Occupational Therapist
Primary
3581-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40875400
WI
Enumeration date
01/02/2008
Last updated
01/02/2008
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