Doctor Name: | MR. BRYAN SCOTT LANGE |
NPI Number: | 1275606295 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 1154950 |
Business Practice Address: | 2074 Antilley Rd Suite 100 Abilene, TX - 796065209 |
Business Phone Number: | 3254371219 |
Business Fax Number: | 3254371250 |
Mailing Address: | 2074 Antilley Rd Ste 100, ABILENE |
State: | TX |
Postal Code: | 796065209 |
Phone Number: | 3256909700 |
Fax Number: | 3256909704 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 03/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1154950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |