Individual
MRS. VIVIENNE FORSYTH NEERDAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833
(920) 993-0726
Mailing address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(715) 339-4603
(715) 339-4604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
853-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40690400
—
WI
Enumeration date
08/13/2007
Last updated
02/07/2023
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