Individual
MR. GUNNAR ISAIAH SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107094
MN
225X00000X
Occupational Therapist
8255-26
WI
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
12/19/2022
Last updated
03/09/2023
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