NPI 1013377670

Miranda Gazza, OTR

Practitioner Occupational Therapist West Bend, WI

Practice location

Address: 531 E Washington St, West Bend, WI 53095-2531
Phone: (262) 335-4500
Mailing address: 7517 W Cold Spring Rd, Milwaukee, WI 53220-2814

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 5617-26 (WI)

Other Occupational Therapist providers in Wisconsin →

Registry record

NPI: 1013377670
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Feb 2016
Record last updated: 25 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.