Individual
MRS. KATHERINE BANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 E NICKERSON AVE, BENTON HARBOR, MI 49022-2469
(269) 983-5833
Mailing address
2801 VALLEYDALE DR NW APT 201, WALKER, MI 49534-2600
(513) 325-8598
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010043
MI
Other
Enumeration date
07/31/2018
Last updated
10/25/2019
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