Individual provider · Type 1 NPI

Christopher Bradley Lange, CPO

Prosthetist · Ithaca, NY

NPI number 1952166118 Active

Practice location

310 Taughannock Blvd Ste 1A
Ithaca, NY 14850-3251

Fax (607) 277-2533

Mailing address

141 Cedar Ln
Groton, NY 13073-1311

Specialties and licenses

TaxonomyCodeLicense
Orthotist 222Z00000XOH000163 (PA)
Prosthetist Primary 224P00000XPO000109 (PA)

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Another provider at this address

About NPI 1952166118

Christopher Bradley Lange, CPO's National Provider Identifier is 1952166118, issued on Feb 16, 2024. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Ithaca, NY. The record was last updated on Feb 16, 2024.