Individual
KEVIN ROBERT LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 352-0233
Mailing address
1311 NORTHLAWN ST NE, GRAND RAPIDS, MI 49505-3867
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009234
MI
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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