Individual
AUDRIE A VANTANGOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9 DUGAN RD, WARE, MA 01082-9702
(413) 885-0921
Mailing address
9 DUGAN RD, WARE, MA 01082-9702
(413) 885-0921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10703
MA
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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