Gaylord, Heather Colleen
Gaylord, Heather Colleen is an individual health care provider with primary practice located at 1110 7Th Street , Cumberland WI 54829. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gaylord, Heather Colleen can be contacted via phone (715) 822-6167.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1585-26 | Wisconsin |
Profile Details
| NPI number | 1114143740 |
|---|---|
| LBN Legal business name | Gaylord, Heather Colleen |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | May 9th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114143740 | NPPES |
| Wisconsin | MEDICAID | 40724900 |
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