| NPI | 1871793513 |
|---|---|
| Former Name | KASEY LANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15341) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2540) |
| 225100000X Physical Therapist (Licence: PA PT018847) | |
| 225100000X Physical Therapist (Licence: CA 36602) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-07-27 |