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Individual

MRS. SUSAN A LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(188) 887-3422
Mailing address
164 PHILIP DRIVE, FALL RIVER, NOVA SCOTIA B2T1H-7
(902) 860-0313
(902) 860-2342

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08090
MA

Other

Enumeration date
04/04/2007
Last updated
07/08/2007
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