Individual
JONATHAN MICHAEL LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 457-8273
Mailing address
113 E CLINTON ST, LOGANSPORT, IN 46947-8244
(574) 727-4242
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005734A
IN
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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