Individual
MR. MARK RICHARD LANGENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., M.B.A., O.C.S.
Contact information
Practice address
13055 W MCDOWELL RD, SUITE G-107, AVONDALE, AZ 85392-6449
(623) 547-4787
Mailing address
13055 W MCDOWELL RD, SUITE G-107, AVONDALE, AZ 85392-6449
(623) 547-4787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1936
AZ
Other
Enumeration date
11/10/2006
Last updated
01/06/2009
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