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MS. SHANNON PATRICIA GATEWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2049
Mailing address
355 E MONTANA ST, MILWAUKEE, WI 53207-2017
(414) 744-0964

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4682026
WI

Other

Enumeration date
11/19/2009
Last updated
11/19/2009
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