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BOBAY VANGROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1650 TRI PARK WAY, APPLETON, WI 54914-1652
(920) 830-6697
(920) 830-6707
Mailing address
1650 TRI PARK WAY, APPLETON, WI 54914-1652
(920) 830-6697
(920) 830-6707

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4838-26
WI

Other

Enumeration date
05/31/2016
Last updated
05/31/2016
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