Individual
ASHLEY R VAN DYN HOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1142 ORLANDO DR, DE PERE, WI 54115-9484
(920) 339-0700
Mailing address
1400 HOLLAND RD APT 4, APPLETON, WI 54911-8997
(920) 475-2417
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4615-027
WI
Other
Enumeration date
09/05/2013
Last updated
01/17/2023
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