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1124285887
MARIE KATHLEEN LANGE
SAINT LOUIS, MO
NPI
1124285887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 2007020783)
Enumeration Date
2008-05-20
Last Update Date
2008-05-20
Business Address
-- MARIE KATHLEEN LANGE MOT, OTR/L
5030 MCREE AVE
SAINT LOUIS, MO 63110-2046
Phone number: 314-776-1300
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Mailing Address
-- MARIE KATHLEEN LANGE MOT, OTR/L
12063 RENAISSANCE DR
MARYLAND HEIGHTS, MO 63043-1145
Phone number: 913-909-7495
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