Individual
BROOKE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
209 ASH ST E, ANNANDALE, MN 55302-3148
(320) 274-1007
Mailing address
121 BASSWOOD AVE, BURTRUM, MN 56318-1038
(320) 630-3215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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