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Individual

MRS. MARGARET MARY GORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4220
(920) 262-4392
Mailing address
N8072 LA SALLE CIR, OCONOMOWOC, WI 53066-5510
(262) 569-9742

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
35-026
WI

Other

Enumeration date
04/24/2007
Last updated
07/08/2007
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