Individual
KELSEY LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
4121 PENNSYLVANIA AVE, DUBUQUE, IA 52002-2628
(563) 583-4003
(563) 583-3408
Mailing address
4121 PENNSYLVANIA AVE, DUBUQUE, IA 52002-2628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121139
IA
Other
Enumeration date
07/27/2023
Last updated
11/28/2023
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