JESSICA M LANGE

STORM LAKE, IA
NPI1659419414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IA  1014)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
-- JESSICA M LANGE PTA
315 W 5TH ST
STORM LAKE, IA 50588-1743
Phone number: 712-732-7725
Mailing Address
-- JESSICA M LANGE PTA
1017 SENECA ST
STORM LAKE, IA 50588-2031
Phone number: 712-732-7725