Individual
ADRIAN ELINGE KANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA,CPT
Contact information
Practice address
1300 W SILVER SPRING DR, GLENDALE, WI 53209-4415
(414) 228-8120
Mailing address
N168W21850 MAIN ST APT 39, JACKSON, WI 53037-9395
(612) 242-6173
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4061
WI
225200000X
Physical Therapy Assistant
A2871
MN
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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