| NPI | 1902996051 |
|---|---|
| Other Name | JOLIE LANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0210331) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8129) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-01-18 |