Marissa Langdon, LPTA

NPI #1053973776 in Edwardsville, Illinois

Provider Information

NPI Number: 1053973776
Entity Type: Individual
Name: Marissa Langdon, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Jul 2, 2019
Last Updated: Jul 2, 2019

Practice Location

Address: 1111 UNIVERSITY DR
City: Edwardsville
State: Illinois
ZIP Code: 62025-5589
Phone: (618) 692-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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