Lange, Gina M

Lange, Gina M is an individual health care provider with primary practice located at Occupational Health Sports Clinic 1650 Lee Lane, Beloit WI 53511-3945. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lange, Gina M can be contacted via phone (608) 364-4666.

Contact Information

Primary practice address
Occupational Health Sports Clinic 1650 Lee Lane Beloit WI 53511-3945
Phone: (608) 364-4666
Fax: (608) 364-4670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1487150504
LBN Legal business name Lange, Gina M
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2018
Last updated Aug 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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