Organization
ADVANCED THERAPY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO E LANG PT (OWNER)
(405) 686-6011
Entity
Organization
Contact information
Practice address
2209 SW 74TH ST, SUITE 320, OKLAHOMA CITY, OK 73159-3929
(405) 686-6011
(405) 686-1608
Mailing address
PO BOX 268840, OKLAHOMA CITY, OK 73126-8840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1912
OK
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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