MR. MARK LANGE, MPT

Physical Therapist

Active Individual
NPI: 1558686428

Practice Address

FAIRFAX RD AT VIRGINIA ST
Slc, UT 84103

Phone: (801) 536-3616

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes -

Frequently Asked Questions

NPI 1558686428 is the National Provider Identifier for MR. MARK LANGE, MPT, a Physical Therapist provider located in Slc, UT. This NPI was enumerated on April 2, 2010.
MR. MARK LANGE, MPT practices at FAIRFAX RD AT VIRGINIA ST, Slc, UT 84103.

Quick Facts

NPI
1558686428
Type
Individual
Enumerated
Apr 2, 2010
Last Updated
Jul 20, 2021

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