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Individual

MS. AMANDA MELANIE LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
4511 ROCKSIDE RD SUITE #330, SUPPLEMENTAL HEALTH CARE, INDEPENDENCE, OH 44132
(216) 901-0400
(216) 901-0401
Mailing address
2168 BUNTS RD, LAKEWOOD, OH 44107
(216) 288-3674

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5565
OH

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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