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Organization
AG THERAPY LLC
Active
Organization
AG THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GIANGIULIO (OWNER)
(219) 798-6189
Entity
Organization
Contact information
Practice address
405 E FOREST ST, OCONOMOWOC, WI 53066-3707
(219) 798-6189
Mailing address
405 E FOREST ST, OCONOMOWOC, WI 53066-3707
(219) 798-6189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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