Individual
JUDITH RHODES LANGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
125 LAKE RD, TAVERNIER, FL 33070-2220
(407) 782-8738
Mailing address
125 LAKE RD, TAVERNIER, FL 33070-2220
(407) 782-8738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT16777
FL
2251P0200X
Pediatric Physical Therapist
Primary
PT16777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890601700
—
FL
Enumeration date
09/10/2012
Last updated
03/02/2020
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