Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | P11200 | NC |
NPI | 1003006578 |
---|---|
Provider Name | Dr. Kathryn Marie Lang |
First Address | Durham, NC 27707-6819 |
Second Address | Chapel Hill, NC 27514-5827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 30/07/2007 |