STACI L. GOMEZ

LAKE GENEVA, WI
NPI1679562847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  1931)
Additional Taxonomies225XH1200X Occupational Therapist, Hand
(Licence: WI  1931-26)
Enumeration Date2005-10-19
Last Update Date2025-02-24
Business Address
Mrs. STACI L. GOMEZ OTR/CHT
700 GENEVA PKWY N
LAKE GENEVA, WI 53147-4594
Phone number: 262-249-3500
Mailing Address
Mrs. STACI L. GOMEZ OTR/CHT
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250