Individual
NATHANIEL LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10317
TN
225100000X
Physical Therapist
Primary
PTH8272
AL
Other
Enumeration date
02/12/2015
Last updated
10/04/2019
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