Individual
ELLEN LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
6737 W WASHINGTON ST STE 2250, WEST ALLIS, WI 53214-5650
(414) 416-7306
Mailing address
6737 W WASHINGTON ST STE 2250, WEST ALLIS, WI 53214-5650
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2398-26
WI
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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