Provider Demographics
NPI:1962841676
Name:GESSNER, LAURA LYNNE (COTA)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:LYNNE
Last Name:GESSNER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N3750 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WEYERHAEUSER
Mailing Address - State:WI
Mailing Address - Zip Code:54895-4414
Mailing Address - Country:US
Mailing Address - Phone:715-214-5736
Mailing Address - Fax:
Practice Address - Street 1:N3750 3RD ST
Practice Address - Street 2:
Practice Address - City:WEYERHAEUSER
Practice Address - State:WI
Practice Address - Zip Code:54895-4414
Practice Address - Country:US
Practice Address - Phone:715-214-5736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant