NPI | 1093308884 |
---|---|
Former Name | CAITLIN ANAIS LANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: LA 11215R) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1343785) |
Enumeration Date | 2021-02-12 |
Last Update Date | 2025-07-21 |