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Tammy Gagnon, PTA
NPI 1487953592 · on the registry since 2011
Practice
- Address
- W6990 S Silver Lake Rd
Wautoma, WI 54982 - Phone
- (920) 787-4766
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin