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Individual

MRS. MAGGIE JEAN LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4 ARNOLD MALL, ARNOLD, MO 63010-2223
(636) 282-0125
Mailing address
5709 KELLER BEND DR, SAINT LOUIS, MO 63128-3474
(314) 842-4073

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01399
MO

Other

Enumeration date
08/09/2010
Last updated
08/09/2010
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