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Individual

MRS. KAOCHI DESJHEANNETTE VANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR

Contact information

Practice address
AURORA MEDICAL CENTER OF OSHKOSH - REHAB, 855 N. WESTHAVEN DRIVE, OSHKOSH, WI 54904
(920) 456-7395
(920) 456-7101
Mailing address
AURORA MEDICAL CENTER OF OSHKOSH - REHAB, 855 N. WESTHAVEN DRIVE, OSHKOSH, WI 54904
(920) 456-7395
(920) 456-7101

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5701-26
WI

Other

Enumeration date
08/25/2015
Last updated
11/08/2018
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