Individual
GINA M LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
OCCUPATIONAL HEALTH SPORTS CLINIC, 1650 LEE LANE, BELOIT, WI 53511-3945
(608) 364-4666
(608) 364-4670
Mailing address
BELOIT HEALTH SYSTEM INC, 1969 W HART ROAD, BELOIT, WI 53511-2230
(608) 364-2293
(608) 364-5525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
08/25/2022
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