Individual
CANDACE LEIGH PANTOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, MS
Contact information
Practice address
3030 CITY VIEW DRIVE, CITY VIEW NURSING HOME, MADISON, WI 53718
(608) 242-5020
Mailing address
504 PINE ST, MADISON, WI 53715-2146
(608) 250-2538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2293-26
WI
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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