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Organization
LEGEND PHYSICAL THERAPY OF BALLINGER, LLC
Active
Organization
LEGEND PHYSICAL THERAPY OF BALLINGER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA M LANGE PT, DPT (OWNER/OPERATOR)
(325) 234-6733
Entity
Organization
Contact information
Practice address
408 HUTCHINS AVE, BALLINGER, TX 76821
(325) 234-6733
Mailing address
15701 US HIGHWAY 67, MILES, TX 76861-6700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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