Individual
MRS. ANGELA ELAINE VANDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
960 S RAPIDS RD, MANITOWOC, WI 54220-4146
(920) 684-1144
(920) 482-0651
Mailing address
960 S RAPIDS RD, MANITOWOC, WI 54220-4146
(920) 684-1144
(920) 482-0651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1524-27
WI
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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