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MR. THOMAS WAYNE LANGDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
690 MEDICAL PARK DR, AIKEN, SC 29801-6348
(803) 648-8344
Mailing address
207 CALHOUN ST, JOHNSTON, SC 29832-1312
(803) 960-1657

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2031
SC

Other

Enumeration date
08/29/2006
Last updated
07/08/2007
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