Doctor Name: | JAIME LANGE |
NPI Number: | 1356736656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 077199 |
Business Practice Address: | 12493 University Ave Clive, IA - 503258286 |
Business Phone Number: | 5156453350 |
Business Fax Number: | 5152445570 |
Mailing Address: | Po Box 71602, CLIVE |
State: | IA |
Postal Code: | 503250602 |
Phone Number: | 5152432057 |
Fax Number: | 5152445570 |
NPI Enumeration Date: | 04/02/2015 |
NPI Last Update Date: | 04/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 077199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |