Individual
GAYLE A ROLLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8353
Mailing address
301 N GEORGE ST, WHITEWATER, WI 53190-1342
(262) 473-5102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3775-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41039700
—
WI
Enumeration date
01/30/2007
Last updated
12/20/2011
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