Johanna Marie Lange, PT, DPT, CSCS

NPI #1427440965 in Ballinger, Texas

Provider Information

NPI Number: 1427440965
Entity Type: Individual
Name: Johanna Marie Lange, PT, DPT, CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, CSCS
Enumeration Date: Feb 20, 2015
Last Updated: May 12, 2015

Practice Location

Address: 608 AVENUE B
City: Ballinger
State: Texas
ZIP Code: 76821-2406
Phone: (325) 365-2531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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Legend Physical Therapy of Ballinger, LLC	Physical Therapist	Ballinger	AI Deep Dive
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