Individual
MEGAN VALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 PARK AVE, OCONTO, WI 54153-1612
(920) 834-6875
Mailing address
1767 BOLAND RD, GREEN BAY, WI 54303-4630
(920) 321-0229
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1683-27
WI
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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