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Individual

PEGGY LEE LANGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T., C.H.T

Contact information

Practice address
17100 N 67TH AVE, BLDG #100, GLENDALE, AZ 85308-3605
(623) 979-2747
(623) 979-3122
Mailing address
20118 N 67TH AVE, #300-465, GLENDALE, AZ 85308-4621
(623) 979-2747
(623) 979-3122

Taxonomy

Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
1294
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
852790
ACCHS
AZ
01
Z81210
MEDICARE
AZ
Enumeration date
04/25/2006
Last updated
02/23/2012
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