Individual
KAILEY ELIZABETH LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
261 RICHMOND RD, RICHMOND HEIGHTS, OH 44143-4422
(440) 565-0008
(440) 565-0011
Mailing address
7650 RED FOX TRL, HUDSON, OH 44236-1926
(216) 407-4958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012068
OH
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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