Nicole E Vandenberg, C.O.T.A

NPI #1790026961 in New London, Wisconsin

Provider Information

NPI Number
1790026961
Entity Type
Individual
Name
Nicole E Vandenberg, C.O.T.A
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
C.O.T.A
Enumeration Date
Mar 12, 2013
Last Updated
Mar 12, 2013

Practice Location

Address
107 E BECKERT RD
ZIP Code
54961-2509
Phone
(920) 982-5354

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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