| NPI | 1770716326 |
|---|---|
| Former Name | WHITNEY NICOLE LANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012268) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT001564) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2016-02-23 |