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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TAMMY LYNN GUSTAFSON, OTR

Active Sole Proprietor

MRS. TAMMY LYNN GUSTAFSON, OTR is a Occupational Therapist healthcare provider located in WASHBURN, Wisconsin. NPI 1912174616 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WASHBURN, WI

Registration Details

NPI Number
1912174616
Provider Type
Individual
Gender
Female
NPI Issued
May 12, 2008 (18.231415796582 yrs)
Last Updated
Sep 11, 2015
License
2402-026 (WI)
Sole Proprietor
Yes

Practice Information

Address
706 BRATLEY DRIVE
WASHBURN, WI, 54891
Browse WI providers · Browse ZIP 54891
Phone
7153736425
Fax
7153735655
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in WASHBURN, WI

Name Credential NPI
MRS. JILLIAN MAE CADOTTE OTR/L 1801078191
MISS ADRIANA SWARTZ OTR 1902218167
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.