Individual
ALICE BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 POLARIS PKWY STE 160, WESTERVILLE, OH 43082-7989
(614) 776-0970
Mailing address
300 POLARIS PKWY STE 160, WESTERVILLE, OH 43082-7989
(818) 456-8879
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT21269
CA
225XH1200X
Hand Occupational Therapist
Primary
OT013142
OH
225XP0200X
Pediatric Occupational Therapist
18-1021
NV
Other
Enumeration date
02/22/2018
Last updated
08/26/2025
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