ROBYN LOUISE VANDE BERG

KENOSHA, WI
NPI1992998132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  564027)
Enumeration Date2007-08-21
Last Update Date2008-04-18
Business Address
Mrs. ROBYN LOUISE VANDE BERG COTA/L
3415 SHERIDAN RD
KENOSHA, WI 53140-1924
Phone number: 262-657-6175
Mailing Address
Mrs. ROBYN LOUISE VANDE BERG COTA/L
6775 BOBOLINK RD
RACINE, WI 53402-1397
Phone number: