Individual
ERIC C LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
604 EAST BUCHANAN STREET, CALIFORNIA, MO 65018
(573) 796-2279
(573) 796-2308
Mailing address
3301 BERRYWOOD DR, SUITE 204, COLUMBIA, MO 65201-6517
(573) 449-8771
(573) 449-6563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111260
MO
Other
Enumeration date
07/18/2006
Last updated
03/18/2015
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