Individual
FUE XENG MOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
116 N MAIN ST, SHAWANO, WI 54166-2356
(715) 526-7370
(715) 526-7294
Mailing address
116 N MAIN ST, SHAWANO, WI 54166-2356
(715) 526-7370
(715) 526-7294
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5203-26
WI
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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