Candace Leigh Pantoga, OTR, MS

NPI #1003060658 in Madison, Wisconsin

Provider Information

NPI Number: 1003060658
Entity Type: Individual
Name: Candace Leigh Pantoga, OTR, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR, MS
Enumeration Date: Nov 10, 2008
Last Updated: Nov 10, 2008

Practice Location

Address: 3030 CITY VIEW DRIVE
Address 2: CITY VIEW NURSING HOME
City: Madison
State: Wisconsin
ZIP Code: 53718
Phone: (608) 242-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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