Individual
MIKE J LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS REHAB SERVICES, MILWAUKIE, OR 97222
(971) 206-5149
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS REHAB SERVICES, MILWAUKIE, OR 97222
(971) 206-5149
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1011
CA
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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