CHE' NICOLE LANG

BELLEVILLE, IL
NPI1093314429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.009013)
Enumeration Date2020-10-16
Last Update Date2020-10-16
Business Address
CHE' NICOLE LANG PTA
1021 W E ST
BELLEVILLE, IL 62220-1055
Phone number: 618-233-2095
Mailing Address
CHE' NICOLE LANG PTA
212 W SAINT CLAIR ST
FREEBURG, IL 62243-1136
Phone number: 618-402-4599