Candace Leigh Pantoga
Occupational Therapist
3030 City View Drive City View Nursing Home
Madison
, Wisconsin 53718
Candace Leigh Pantoga
Occupational Therapist
3030 City View Drive City View Nursing Home
Madison
, Wisconsin 53718
(608) 250-2538
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Candace Leigh Pantoga
- 504 Pine St
- Madison, WI
- Zip : 53715-2146
- Phone : (608) 250-2538
Second Address
- Candace Leigh Pantoga
- 3030 City View Drive City View Nursing Home
- Madison, WI
- Zip : 53718
- Phone : (608) 242-5020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2293-26 | WI |
National Provider Identifier
| NPI | 1003060658 |
|---|---|
| Provider Name | Candace Leigh Pantoga |
| First Address | Madison, WI 53715-2146 |
| Second Address | Madison, WI 53718 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2008 |
| Last Update Date | 10/11/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.