Doctor Name: | MR. MARK RICHARD LANGENBACH |
NPI Number: | 1144391392 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T., M.B.A., O.C.S. |
License Number: | 1936 |
Business Practice Address: | 13055 W Mcdowell Rd Suite G-107 Avondale, AZ - 853926449 |
Business Phone Number: | 6235474787 |
Business Fax Number: | |
Mailing Address: | 13055 W Mcdowell Rd, Suite G-107 AVONDALE |
State: | AZ |
Postal Code: | 853926449 |
Phone Number: | 6235474787 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 01/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |