STACI L. GOMEZ

GREENFIELD, WI
NPI1679562847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: WI  1931-026)
Additional Taxonomies225XH1200X Occupational Therapist, Hand
(Licence: WI  1931-26)
Enumeration Date2005-10-19
Last Update Date2022-02-25
Business Address
Mrs. STACI L. GOMEZ OTR/CHT
3033 W LAYTON AVE STE 202
GREENFIELD, WI 53221-2621
Phone number: 414-647-0033
Mailing Address
Mrs. STACI L. GOMEZ OTR/CHT
316 CHURCH ST
BURLINGTON, WI 53105-1040
Phone number: 262-210-1431