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Individual

MR. DAVID LEE VORPAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
2817 NEW PINERY RD, SUITE 103, PORTAGE, WI 53901-9257
(608) 745-6290
(608) 745-6250
Mailing address
2817 NEW PINERY RD, SUITE 103, PORTAGE, WI 53901-9257
(608) 745-6290
(608) 745-6250

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2670
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40823100
WI
Enumeration date
09/06/2007
Last updated
09/06/2007
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