Individual
RENEE MICHELE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
449 QUARTER ST, GLADWIN, MI 48624-1918
(989) 426-3430
Mailing address
3009 CALHOUN RD, BEAVERTON, MI 48612-9775
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003866
MI
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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