Individual
MS. KELLIE AYN LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5012 E MANSLICK RD, LOUISVILLE, KY 40219-5165
(502) 969-3277
(502) 969-3259
Mailing address
5012 E MANSLICK RD, LOUISVILLE, KY 40219-5165
(502) 969-3277
(502) 969-3259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131965
KY
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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