Individual
REAGAN XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2025 CROOKED AVE, HOLMEN, WI 54636-8633
(715) 497-3686
Mailing address
2025 CROOKED AVE, HOLMEN, WI 54636-8633
(715) 497-3686
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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