Individual
MRS. KIM MARIE VANDER GALIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
104 FAKES CT, BEAVER DAM, WI 53916-2699
(920) 219-4941
Mailing address
108 WINDMILL WAY, RANDOLPH, WI 53956-1340
(920) 382-0108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
793-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699948232
—
WI
Enumeration date
04/03/2008
Last updated
10/04/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us