ANGELA ELAINE VANDENBERG

MANITOWOC, WI
NPI1760766125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  1524-27)
Enumeration Date2011-10-04
Last Update Date2011-10-04
Business Address
Mrs. ANGELA ELAINE VANDENBERG COTA
960 S RAPIDS RD
MANITOWOC, WI 54220-4146
Phone number: 920-684-1144
Mailing Address
Mrs. ANGELA ELAINE VANDENBERG COTA
960 S RAPIDS RD
MANITOWOC, WI 54220-4146
Phone number: 920-684-1144