OLIVER MAXWELL LANG

MESA, AZ
NPI1598634511
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  PTA-014950)
Enumeration Date2025-10-30
Last Update Date2025-10-30
Business Address
OLIVER MAXWELL LANG PTA
1917 S SIGNAL BUTTE RD STE B106
MESA, AZ 85209-2602
Phone number: 480-272-7797
Mailing Address
OLIVER MAXWELL LANG PTA
2244 S DON LUIS
MESA, AZ 85202-6375
Phone number: 614-886-3926
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