Individual
TIMOTHY FRANCIS VANPAMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7228 7TH AVE, KENOSHA, WI 53143-5554
(262) 960-4918
Mailing address
7228 7TH AVE, KENOSHA, WI 53143-5554
(262) 960-4918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003567
IL
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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