Provider Demographics
NPI:1821762667
Name:LOMBARDI GASTIER, DANICA MICHELLE (OTR/L)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:MICHELLE
Last Name:LOMBARDI GASTIER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DANICA
Other - Middle Name:MICHELLE
Other - Last Name:LOMBARDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:604 N 16TH ST RM 104
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53233-2117
Mailing Address - Country:US
Mailing Address - Phone:414-288-6122
Mailing Address - Fax:
Practice Address - Street 1:604 N 16TH ST RM 104
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233-2117
Practice Address - Country:US
Practice Address - Phone:414-288-6122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7067-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist