Jacob Zhicao Tang

NPI #1417815861 in Onalaska, Wisconsin

Provider Information

NPI Number
1417815861
Entity Type
Individual
Name
Jacob Zhicao Tang
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Drama Therapist
Enumeration Date
Jan 14, 2026
Last Updated
Jan 14, 2026

Practice Location

Address
1352 COUNTY ROAD SS
ZIP Code
54650-8522
Phone
(617) 633-8690

Specialties & Taxonomy Codes

Specialty
Drama Therapist

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