| Robert Lange, MOTR | |
|
1401 Churchill St, Waupaca, WI 54981-2027 | |
| (715) 258-8131 | |
| Not Available |
| Full Name | Robert Lange |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1401 Churchill St, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891917902 | NPI | - | NPPES |
| 41043600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5166-26 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Lange, MOTR 410 E Fulton St, Apt 7, Waupaca, WI 54981-1256 Ph: (414) 313-0705 | Robert Lange, MOTR 1401 Churchill St, Waupaca, WI 54981-2027 Ph: (715) 258-8131 |
Amanda Debauche, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1053 | |
Mrs. Tracy Marie Darnutzer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1226 Berlin St, Waupaca, WI 54981 Phone: 715-942-1422 | |
Lamont Parrott, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1053 Fax: 715-258-1153 | |
Meghan Renee Halambeck, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1226 Berlin St, Waupaca, WI 54981 Phone: 262-622-3964 | |
Ryan Thomas Pulvermacher, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1053 | |
Ms. Sue Laurie Young, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Churchill St, Waupaca, WI 54981 Phone: 715-258-8131 Fax: 715-258-0179 | |
Mrs. Anne Theresa Lieber, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 811 Harding St, Waupaca, WI 54981 Phone: 715-258-6337 |