Individual
MRS. PATRICIA L. LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5330 HWY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-7015
Mailing address
1800 POPLAR DR, MOHAVE VALLEY, AZ 86440-8524
(928) 768-6253
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8135A
AZ
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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