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Individual

GAIL BLISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
400 N MORRIS ST, REHAB DEPT, STOUGHTON, WI 53589-1857
(608) 873-5651
Mailing address
5309 REGENT ST, MADISON, WI 53705-4626
(608) 231-3511

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4673 - 027
WI

Other

Enumeration date
07/24/2015
Last updated
07/24/2015
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