Jessica M Lange, PTA
NPI #1659419414 in Storm Lake, Iowa
Provider Information
- NPI Number
- 1659419414
- Entity Type
- Individual
- Name
- Jessica M Lange, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 315 W 5TH ST
- City
- Storm Lake
- State
- Iowa
- ZIP Code
- 50588-1743
- Phone
- (712) 732-7725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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