Individual provider · Type 1 NPI

Staci L. Gomez, OTR/CHT

Occupational Therapist · Lake Geneva, WI

NPI number 1679562847 Active

Practice location

700 Geneva Pkwy N
Lake Geneva, WI 53147-4594

Call (262) 249-3500 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Hand Occupational Therapist 225XH1200X1931-26 (WI)
Occupational Therapist Primary 225X00000X1931 (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 1679562847

Staci L. Gomez, OTR/CHT's National Provider Identifier is 1679562847, issued on Oct 19, 2005. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Lake Geneva, WI. The record was last updated on Feb 24, 2025.