Provider Demographics
NPI:1346923075
Name:GAUSACHS, MARIA LILIANA
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LILIANA
Last Name:GAUSACHS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 WEST RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-2243
Mailing Address - Country:US
Mailing Address - Phone:973-220-9946
Mailing Address - Fax:
Practice Address - Street 1:WILLOW CREEK NURSING & REHABILITATION CENTER
Practice Address - Street 2:2401 WAYNE MEMORIAL DRIVE
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534
Practice Address - Country:US
Practice Address - Phone:919-736-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist