Individual
DIANE SANTOS LANTAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, OCS
Contact information
Practice address
1050 W PERIMETER RD, ANDREWS AFB, MD 20762-6601
(240) 857-8472
(240) 857-9415
Mailing address
639 S COLUMBUS ST, ALEXANDRIA, VA 22314-4162
(703) 778-8736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1147952
TX
Other
Enumeration date
11/23/2005
Last updated
07/08/2007
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