Individual
DARYL VAN NULAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
W6160 PILGRIM ST, APPLETON, WI 54914-9140
(508) 944-7855
Mailing address
W6160 PILGRIM ST, APPLETON, WI 54914-9140
(508) 944-7855
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7139-27
WI
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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