Individual provider · Type 1 NPI

Miranda Gazza, OTR

Occupational Therapist · West Bend, WI

NPI number 1013377670 Active

Practice location

531 E Washington St
West Bend, WI 53095-2531

Mailing address

7517 W Cold Spring Rd
Milwaukee, WI 53220-2814

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5617-26 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013377670

Miranda Gazza, OTR's National Provider Identifier is 1013377670, issued on Feb 25, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in West Bend, WI. The record was last updated on Feb 25, 2016.