Basic Information
| Provider Information | |||||||||
| NPI: | 1356843569 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GUSCHING | ||||||||
| FirstName: | NICOLE | ||||||||
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| Credential: | MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2959 CANTERBURY CT | ||||||||
| Address2: | |||||||||
| City: | WILLOUGHBY HILLS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440921467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4404873966 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2540 BILLINGSLEY RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432351990 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6146026473 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2018 | ||||||||
| LastUpdateDate: | 02/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171M00000X | N | Other Service Providers | Case Manager/Care Coordinator | 225X00000X | OT010089 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.