Robert Lange, MOTR

NPI #1891917902 in Waupaca, Wisconsin

Provider Information

NPI Number: 1891917902
Entity Type: Individual
Name: Robert Lange, MOTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MOTR
Enumeration Date: May 2, 2007
Last Updated: Dec 16, 2014

Practice Location

Address: 1401 CHURCHILL ST
City: Waupaca
State: Wisconsin
ZIP Code: 54981-2027
Phone: (715) 258-8131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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