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Individual

MAI DER VANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
225 CHURCH ST, KOHLER, WI 53044-1502
(920) 889-5209
Mailing address
5000 MEMORIAL DRIEVE, TWO RIVERS, WI 54241
(920) 793-7579

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6374-26
WI

Other

Enumeration date
10/10/2018
Last updated
10/10/2018
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