Organization
ADVANCED LYMPHEDEMA AND REHAB
Active
Organization
ADVANCED LYMPHEDEMA AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW PAUL LANG OTRL (OCCUPATIONAL THERAPIST)
(586) 441-2222
Entity
Organization
Contact information
Practice address
312 KIRKSHIRE AVE, ROSCOMMON, MI 48653-9221
(586) 441-2222
Mailing address
312 KIRKSHIRE AVE, ROSCOMMON, MI 48653-9221
(586) 441-2222
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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