JAKE LANGE

BRANFORD, CT
NPI1194350090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CT  002006)
Enumeration Date2020-03-11
Last Update Date2020-03-11
Business Address
JAKE LANGE PTA
189 ALPS RD
BRANFORD, CT 06405-4771
Phone number: 203-315-2615
Mailing Address
JAKE LANGE PTA
189 ALPS RD
BRANFORD, CT 06405-4771
Phone number: 203-315-2615
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