Individual
LAURA P LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1200 RIVER RD, CONSHOHOCKEN, PA 19428-2442
(215) 483-2461
(215) 483-4597
Mailing address
1200 RIVER RD, CONSHOHOCKEN, PA 19428-2442
(215) 483-2461
(215) 483-4597
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011349
PA
225XP0200X
Pediatric Occupational Therapist
OC011349
PA
Other
Enumeration date
05/03/2010
Last updated
03/06/2013
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