Doctor Name: | MRS. LANA DALTON LANGE |
NPI Number: | 1275757866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 103565 |
Business Practice Address: | 150 S Mount Auburn Rd Cape Girardeau, MO - 637034910 |
Business Phone Number: | 5733315153 |
Business Fax Number: | 5733315028 |
Mailing Address: | 1384 County Road 262, ADVANCE |
State: | MO |
Postal Code: | 637309031 |
Phone Number: | 5733315153 |
Fax Number: | 5733315028 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 103565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |