Individual
JAIME MARIE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1601 NW 114TH ST STE 151, CLIVE, IA 50325-7046
(515) 222-7474
(515) 222-7491
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7474
(515) 222-7491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
077199
IA
Other
Enumeration date
04/02/2015
Last updated
08/03/2022
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