Whalio Doctors

NPI 1689882912

Amanda Melanie Lang, LPTA

Practitioner Physical Therapy Assistant Independence, OH

Practice location

Address
4511 Rockside Rd Suite #330 Supplemental Health Care, Independence, OH 44132
Phone
(216) 901-0400
Fax
(216) 901-0401
Mailing address
2168 Bunts Rd, Lakewood, OH 44107

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5565 (OH)

Registry record

NPI
1689882912
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.