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 |