Individual
MISS KHOU YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3216 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(414) 344-6515
Mailing address
3216 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(414) 344-6515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5477-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5477-27
COTA
WI
Enumeration date
09/13/2018
Last updated
09/13/2018
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