Individual
MARIE KATHLEEN LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
5030 MCREE AVE, SAINT LOUIS, MO 63110-2046
(314) 776-1300
Mailing address
12063 RENAISSANCE DR, MARYLAND HEIGHTS, MO 63043-1145
(913) 909-7495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2007020783
MO
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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