Individual
NICOLE E VANCAMPENHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 EGG HARBOR RD STE 108, STURGEON BAY, WI 54235-1284
(920) 746-0410
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2841-19
WI
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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