Individual
KATIE VANNULAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
900 E GRANT ST, APPLETON, WI 54911-3487
(920) 831-5050
(920) 725-6535
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6531
WI
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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