Individual
MS. ALICE JEAN LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
291 BROOKSIDE CT, PALM HARBOR, FL 34683-5352
(727) 485-3737
Mailing address
28960 US HIGHWAY 19 N, SUITE 104, CLEARWATER, FL 33761-2403
(727) 485-3737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA33729
FL
Other
Enumeration date
04/10/2010
Last updated
06/22/2010
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