Individual
KELDYN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8805 HAVEN AVE, SUITE 200, RANCHO CUCAMONGA, CA 91730-5149
(909) 912-1750
(909) 557-1732
Mailing address
1801 ORANGE TREE LN, SUITE 200, REDLANDS, CA 92374-4589
(909) 557-1607
(909) 557-1732
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT292004
CA
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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