Individual
ANGELA JEAN EBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 MIDWAY PL, MENASHA, WI 54952-1165
(920) 738-2000
Mailing address
PO BOX 331, BUTTE DES MORTS, WI 54927-0331
(920) 257-9716
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5874-27
WI
Other
Enumeration date
06/23/2025
Last updated
07/17/2025
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