Individual
NANCY L VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 WESTWOOD DR, WAUSAU, WI 54401-7804
(715) 952-1029
Mailing address
165363 KELLNER DR, SCHOFIELD, WI 54476-9705
(608) 359-4445
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WI
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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