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Individual

ANDREA KAYE LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
25 W HICKMAN RD, SUITE 200, WAUKEE, IA 50263-5018
(515) 643-7050
(515) 643-7051
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-7050
(515) 643-7051

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01788
IA

Other

Enumeration date
09/30/2008
Last updated
09/01/2010
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