Individual
ANNA L LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
331 S MAIN ST, SUITE H, RICHE LAKE, WI 54868
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10350
TN
225100000X
Physical Therapist
Primary
12047-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477817047
—
WI
Enumeration date
06/28/2012
Last updated
04/03/2024
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