PHENG THAO
Individual Provider (NPI-1)
Active
Home Health
Provider Information
- NPI Number
1710445242- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1227 N 9TH ST, SHEBOYGAN, WI, 530813407
- Phone
- (920) 395-2025
- Fax
- (920) 783-6033
Specialties & Taxonomies
Home Health
Primary