Individual provider · Type 1 NPI

Mary Ellen Gusakova

Occupational Therapist · Roseville, CA

NPI number 1497455455 Active

Practice location

730 Sunrise Ave Ste 130
Roseville, CA 95661-4549

Call (916) 436-8687 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X9804 (CA)

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 1497455455

Mary Ellen Gusakova's National Provider Identifier is 1497455455, issued on Mar 8, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Roseville, CA. The record was last updated on Aug 26, 2026.