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Individual
PAUL LANGE
Active
Individual
PAUL LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
42924
FL
2255A2300X
Athletic Trainer
ATTL-000409
AZ
Other
Enumeration date
06/13/2023
Last updated
04/16/2025
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