Mitchell Vandenboogard

NPI #1992274211 in De Pere, Wisconsin

Provider Information

NPI Number
1992274211
Entity Type
Individual
Name
Mitchell Vandenboogard
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Nov 15, 2018
Last Updated
Nov 15, 2018

Practice Location

Address
200 S 9TH ST
ZIP Code
54115-1393
Phone
(920) 338-4145

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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