Individual
SIERRA DAWN GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1446 116TH ST, CHIPPEWA FALLS, WI 54729-5569
(715) 239-2075
Mailing address
W16092 COUNTY RD S, STANLEY, WI 54768-9302
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
700227
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1411048016
—
WI
Enumeration date
09/02/2022
Last updated
04/17/2025
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