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Jacalyn Joan Gaulke

Occupational Therapist in Oshkosh, WI. Individual provider (NPI-1).

NPI number1891909313
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1891909313
Entity type
Individual (NPI-1)
Name
Jacalyn Joan Gaulke
Sex
Female
Sole proprietor
No
Enumeration date
May 10, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist4045-026WIYes

Practice location

500 S Oakwood Rd
Oshkosh, WI 54904-7944

Phone 920-223-0407

Mailing address

500 S Oakwood Rd
Oshkosh, WI 54904-7944

Phone 920-223-0407

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