Individual
MR. ANDREW LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
312 KIRKSHIRE AVE, ROSCOMMON, MI 48653-9221
(989) 846-4521
Mailing address
312 KIRKSHIRE AVE, ROSCOMMON, MI 48653-9221
(586) 441-2222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009526
MI
Other
Enumeration date
04/21/2017
Last updated
05/05/2021
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