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Individual

MS. KERRI A LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
245 NORTH ST, STONEHAM, MA 02180-2109
(781) 438-7221
(781) 438-7208
Mailing address
3 BLUEBERRY WAY, PEABODY, MA 01960-4941
(781) 696-1024

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10393
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0403087537
PRIVATE
MA
01
470211
TUFTS HEALTH PLAN
MA
01
616931
HARVARD PILGRIM HEALTH
MA
01
Y68559
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/06/2006
Last updated
07/08/2007
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