Lang, Stacy Gayle

Lang, Stacy Gayle is an sole proprietor health care provider with primary practice located at 10457 Slater Ave 203, Fountain Valley CA 92708-7710. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Lang, Stacy Gayle can be contacted via phone (949) 521-1912.

Contact Information

Primary practice address
10457 Slater Ave 203 Fountain Valley CA 92708-7710
Phone: (949) 521-1912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X AT926 California

Profile Details

NPI number 1740553585
LBN Legal business name Lang, Stacy Gayle
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2012
Last updated Feb 9th, 2012 - about 12 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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