Individual
HANNAH M LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
423 W GLEN AVE, PEORIA, IL 61614-4909
(847) 521-0037
Mailing address
423 W GLEN AVE, PEORIA, IL 61614-4909
(847) 521-0037
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056.008715
IL
Other
Enumeration date
05/18/2010
Last updated
03/01/2019
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