Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TAMMY LUELLA GAGNON, PTA
ActiveMRS. TAMMY LUELLA GAGNON, PTA is a Occupational Therapist healthcare provider located in WAUTOMA, Wisconsin. NPI 1487953592 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WAUTOMA, WI
Registration Details
- NPI Number
- 1487953592
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2011 (15.450959842869 yrs)
- Last Updated
- Mar 16, 2011
- License
-
1129-019 (WI)
Practice Information
- Address
-
W6990 S SILVER LAKE RDWAUTOMA, WI, 549825890Browse WI providers · Browse ZIP 54982
- Phone
- 9207874766
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WAUTOMA, WI
| Name | Credential | NPI |
|---|---|---|
| DIANNE L MARTINEZ | PTA | 1023068848 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.