Most Relevant Information
Provider Data
| NPI Number: | 1003060658 |
| Provider Name: | CANDACE LEIGH PANTOGA OTR, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 2293-26 |
Most Important Dates
| Enumeration Date: | 11/10/2008 |
| Last Updated: | 11/10/2008 |
Provider Practice Location
3030 CITY VIEW DRIVE
CITY VIEW NURSING HOME
MADISON
WI
53718
Practice Location Phone/Fax
| Phone: | 6082425020 |
| Fax: |
Provider Mailing Location
504 PINE ST
MADISON
WI
537152146
Provider Mailing Phone/Fax
| Phone: | 6082502538 |
| Fax: |