Individual
GAIL M VANDECASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
Mailing address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
639-26
WI
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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