Angela Elaine Vandenberg COTA

NPI 1760766125 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1760766125
Gender Female
Enumeration Date 10/04/2011
Last Updated 10/04/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
960 S RAPIDS RD
MANITOWOC WI, 54220-4146, US
Phone (920) 684-1144
Fax (920) 482-0651
Business Location
960 S RAPIDS RD
MANITOWOC WI, 54220-4146, US
Phone (920) 684-1144
Fax (920) 482-0651
Toxanomy
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 1524-27
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According to our database, Mrs. Angela Elaine Vandenberg COTA NPI is 1760766125, taxonomy code is 224Z00000X and license number is 1524-27, license state is located at Wisconsin. Angela Elaine Vandenberg COTA physically located at 960 S Rapids Rd, Manitowoc WI, 54220-4146. NPI Number Angela Elaine Vandenberg COTA has the Individual type.

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1760766125 NPI number is provided on an as is basis without warranty of any kind. 1760766125 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Elaine Vandenberg COTA are for informational purposes only.