Individual
REBECCA ANN LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
800 BOONE AVE N STE 135, GOLDEN VALLEY, MN 55427-4476
(763) 417-8888
Mailing address
107 ASPEN CIR, BIG LAKE, MN 55309-8619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/10/2019
Last updated
11/10/2019
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