Individual
DORIS NYARADZAI LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
2786 56TH ST SW, WYOMING, MI 49418-8708
(616) 261-3960
(616) 261-3925
Mailing address
3040 WATERCHASE WAY SW APT 312, WYOMING, MI 49519-5955
(616) 719-7353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
520007194
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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