JAKE LANGE, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1194350090
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 002006 (CT) |
Frequently Asked Questions
NPI 1194350090 is the National Provider Identifier for JAKE LANGE, PTA, a Physical Therapy Assistant provider located in Branford, CT. This NPI was enumerated on March 11, 2020.
JAKE LANGE, PTA practices at 189 ALPS RD, Branford, CT 06405.
Quick Facts
- NPI
- 1194350090
- Type
- Individual
- Enumerated
- Mar 11, 2020
- Last Updated
- Mar 11, 2020
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