Gina M Lange, PT, DPT

NPI #1487150504 in Beloit, Wisconsin

Provider Information

NPI Number: 1487150504
Entity Type: Individual
Name: Gina M Lange, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Apr 5, 2018
Last Updated: Aug 25, 2022

Practice Location

Address: OCCUPATIONAL HEALTH SPORTS CLINIC
Address 2: 1650 LEE LANE
City: Beloit
State: Wisconsin
ZIP Code: 53511-3945
Phone: (608) 364-4666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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