Individual
MS. GENA LEE RANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2200 1ST AVE, PROVIDENCE PLACE, POTTSVILLE, PA 17901-2065
(570) 628-6950
Mailing address
1000 W OAK ST, FRACKVILLE, PA 17931-1643
(570) 640-3321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002849L
PA
Other
Enumeration date
11/01/2010
Last updated
11/02/2010
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