Individual
MARC ANTONIO LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1000 JACKSON RD, SUITE 100, GOODLETTSVILLE, TN 37072-3174
(407) 803-3067
(502) 213-4638
Mailing address
1000 JACKSON RD, SUITE 100, GOODLETTSVILLE, TN 37072-3174
(407) 803-3067
(502) 213-4638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23485
FL
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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