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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE E VANDENBERG, C.O.T.A

Active

Occupational Therapy Assistant · NEW LONDON, WI

Registration Details

NPI Number
1790026961
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2013 (13.129649747103 yrs)
Last Updated
Mar 12, 2013
License
289906 (WI)

Practice Information

Address
107 E BECKERT RD
NEW LONDON, WI, 549612509
Browse WI providers · Browse ZIP 54961
Phone
9209825354
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in NEW LONDON, WI

Name Credential NPI
MRS. SHERRY LYNN JAGIELLO OTA 1942496765
CARRIE HOSTETTLER COTA 1598912404
NOELLE E CUPP 1568743037
MS. KATHY JEAN JENSEN COTA 1396083374
MRS. KATHLEEN NORA PETERS COTA 1770822413
MRS. THERESA SUSAN SCHULZE COTA 1669886859
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.