Individual
MRS. LAURA L LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN THERAPIES, NEW BERLIN, WI 53151
(262) 782-9015
(262) 782-9013
Mailing address
2368 N 62ND STREET, WAUWATOSA, WI 53213
(414) 774-8506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
151026
WI
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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