Individual
ANN MARY VANDENHOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5176
Mailing address
431 OAK ST, LUXEMBURG, WI 54217-1230
(920) 794-5176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
148-019
WI
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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