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Individual

MRS. DONNA M. GIFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
1126 S 70TH ST, SUITE SOUTH. 308B, WEST ALLIS, WI 53214-3151
(414) 456-2331
Mailing address
8127 HILLCREST DR, WAUWATOSA, WI 53213-2140
(414) 763-7415

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2872026
WI

Other

Enumeration date
05/15/2008
Last updated
05/15/2008
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