Individual
HEIDI GULACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6674 RONALD REAGAN AVE, MADISON, WI 53704-2395
(608) 556-6120
Mailing address
6674 RONALD REAGAN AVE, MADISON, WI 53704-2395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7025-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7025-26
STATE OF WISCONSIN LICENSE
WI
Enumeration date
07/01/2021
Last updated
11/26/2024
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