Individual
KOLBY LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 413-9865
Mailing address
2917 CONGRESS AVE, SAGINAW, MI 48602-3714
(989) 413-9865
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010154
MI
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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