ROBERT LANGE

WAUPACA, WI
NPI1891917902
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  5166-26)
Enumeration Date2007-05-02
Last Update Date2014-12-16
Business Address
-- ROBERT LANGE MOTR
1401 CHURCHILL ST
WAUPACA, WI 54981-2027
Phone number: 715-258-8131
Mailing Address
-- ROBERT LANGE MOTR
410 E FULTON ST APT 7
WAUPACA, WI 54981-1256
Phone number: 414-313-0705