DR. Shannon Marie Lange, DPT

NPI #1104420132 in Commack, New York

Provider Information

NPI Number: 1104420132
Entity Type: Individual
Name: DR. Shannon Marie Lange, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 30, 2020
Last Updated: Nov 30, 2020

Practice Location

Address: 150 VETERANS MEMORIAL HWY
Address 2: UNIT 141
City: Commack
State: New York
ZIP Code: 11725
Phone: (646) 733-4737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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