Individual
PA YOUA YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
19395 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2736
(262) 923-7101
Mailing address
3816 S 10TH ST, SHEBOYGAN, WI 53081-8608
(920) 254-5469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6626
WI
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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