Individual
TROY D GUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/CHT/CEES
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4700
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1958026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40835000
—
WI
Enumeration date
05/11/2006
Last updated
06/30/2015
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