Individual
ELIZABETH GULLICKSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
901 CALEDONIA ST, LA CROSSE, WI 54603-2616
(608) 786-1600
Mailing address
206 IRENE PL, HOLMEN, WI 54636-9733
(507) 720-4060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
WI
Other
Enumeration date
06/03/2021
Last updated
03/04/2024
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