Individual
OLIVER MAXWELL LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1917 S SIGNAL BUTTE RD STE B106, MESA, AZ 85209-2602
(480) 272-7797
Mailing address
2244 S DON LUIS, MESA, AZ 85202-6375
(614) 886-3926
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014950
AZ
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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