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Stacy Lang, PTA
NPI 1740553585 · on the registry since 2012 · sole proprietor
Practice
- Address
- 10457 Slater Ave
203
Fountain Valley, CA 92708 - Phone
- (949) 521-1912
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-02-09
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 California