Lange, Jake

Lange, Jake is an individual health care provider with primary practice located at 189 Alps Rd , Branford CT 06405-4771. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Lange, Jake can be contacted via phone (203) 315-2615.

Contact Information

Primary practice address
189 Alps Rd Branford CT 06405-4771
Phone: (203) 315-2615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 002006 Connecticut

Profile Details

NPI number 1194350090
LBN Legal business name Lange, Jake
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2020
Last updated Mar 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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