Individual
MR. KENT ALLEN LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7100 W 13TH AVE, LAKEWOOD, CO 80214-4700
(303) 239-6016
Mailing address
8048 E 24TH AVE, DENVER, CO 80238-3070
(303) 635-6468
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0614
WY
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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