Individual
KELLY MARIE LANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
93 SPRINGVIEW LN UNIT B, SUMMERVILLE, SC 29485-8143
(843) 797-5050
(843) 797-3633
Mailing address
93 SPRINGVIEW LN UNIT B, SUMMERVILLE, SC 29485-8143
(843) 797-5050
(843) 797-3633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05010623A
IN
225100000X
Physical Therapist
Primary
10280
SC
225100000X
Physical Therapist
10402
TN
225100000X
Physical Therapist
PT014288
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH4302
—
SC
Enumeration date
07/23/2011
Last updated
06/09/2021
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