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Jake Lange, PTA
NPI 1194350090 · on the registry since 2020
Practice
- Address
- 189 Alps Rd
Branford, CT 06405 - Phone
- (203) 315-2615
- Organisation at this address
- Abh Opco Llc
Abh Pharmacy Llc
Abh Pharmacy Llc
Csc Enterprises, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut