Individual
MARIAH ANNE LANGFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 S 75TH ST, WEST ALLIS, WI 53214-5709
(414) 774-4411
Mailing address
1820 S 75TH ST, WEST ALLIS, WI 53214-5709
(414) 774-4411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3192-19
WI
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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