ANDREW S LANGE

ROCKFORD, IL
NPI1245534619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.017898)
Enumeration Date2010-12-28
Last Update Date2010-12-28
Business Address
Mr. ANDREW S LANGE PT, DPT
1215 N ALPINE RD
ROCKFORD, IL 61107-2201
Phone number: 815-391-7800
Mailing Address
Mr. ANDREW S LANGE PT, DPT
520 OAK KNOLLS AVE
ROCKFORD, IL 61107-4640
Phone number:
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