Individual
CHUENTAO HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C, L.A.T
Contact information
Practice address
45 SOUTH NATIONAL AVE., FOND DU LAC, WI 54935
(920) 923-8754
(920) 923-8134
Mailing address
2404 MANITOWOC ROAD, GREEN BAY, WI 54311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1614-39
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000016846
CERTIFICATION NUMBER
WI
Enumeration date
10/21/2014
Last updated
06/08/2015
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