Individual provider · Type 1 NPI

Jake Lange, PTA

Physical Therapy Assistant · Branford, CT

NPI number 1194350090 Active

Practice location

189 Alps Rd
Branford, CT 06405-4771

Call (203) 315-2615 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X002006 (CT)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1194350090

Jake Lange, PTA's National Provider Identifier is 1194350090, issued on Mar 11, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Branford, CT. The record was last updated on Mar 11, 2020.