Gwen Ellen Tobianski, MS/OTR
Individual provider Active NPI Occupational Therapist · Iron Ridge, WI
NPI 1013211325 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1013211325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5896 (WI)
- Practice address
- W3387 Strange Rd
Iron Ridge, WI 53035-9649 - Phone
- (414) 550-5966
- NPI assigned
- Dec 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5896 | WI | Yes |
Addresses
Primary practice location
W3387 Strange Rd
Iron Ridge, WI 53035-9649
Mailing address
1793 County Road 224
Fruithurst, AL 36262-3514
Phone (352) 470-2805
Other practice location 1
1793 County Road 224
Fruithurst, AL 36262-3514
Phone (352) 470-2805
Other providers in Iron Ridge, WI
All providers in Iron Ridge, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.