Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1831488899 |
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| LBN Legal business name | PEGGY LANGLEY | ||||||||
| Authorized official | PEGGY LANGLEY - (SOLE PROPRIETOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 03/30/2011 | ||||||||
| Last updated | 08/11/2011 - About 15 years ago | ||||||||
| Identifiers |
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