Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL VANDENBOOGARD
Active Sole ProprietorMITCHELL VANDENBOOGARD is a Occupational Therapy Assistant healthcare provider located in DE PERE, Wisconsin. NPI 1992274211 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DE PERE, WI
Registration Details
- NPI Number
- 1992274211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2018 (7.7820005190886 yrs)
- Last Updated
- Nov 15, 2018
- License
-
5530-27 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 S 9TH STDE PERE, WI, 541151393Browse WI providers · Browse ZIP 54115
- Phone
- 9203384145
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in DE PERE, WI
| Name | Credential | NPI |
|---|---|---|
| JILL L DEVALK | COTA | 1538215538 |
| MRS. DEBRA M. SANCHEZ | COTA | 1174757264 |
| MARCI LEIGH KUSKE | COTA | 1760790208 |
| CYNTHIA M RUDD | — | 1720398076 |
| JENNIFER LYNN GRAICHEN-HUETTL | COTA | 1538436944 |
| COURTNEY GITTER | — | 1487912614 |
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.