Dr Dylan Lange, DPT, CSCS | |
2499 S Wilmington Ave, Compton, CA 90220-5434 | |
(630) 723-9949 | |
Not Available |
Full Name | Dr Dylan Lange |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2499 S Wilmington Ave, Compton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659019941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Matrix Physical Therapy And Wellness Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790238418 PECOS PAC ID: 7416243662 Enrollment ID: O20160914001499 |
Mailing Address | Practice Location Address |
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Dr Dylan Lange, DPT, CSCS 3219 Larrabee Dr, Geneva, IL 60134-4216 Ph: () - | Dr Dylan Lange, DPT, CSCS 2499 S Wilmington Ave, Compton, CA 90220-5434 Ph: (630) 723-9949 |
Community Physical Therapy Ctr Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 725 S Long Beach Blvd, Compton, CA 90221 Phone: 310-631-8703 Fax: 310-763-0400 | |
Caitlin Duke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2499 S Wilmington Ave, Compton, CA 90220 Phone: 310-638-1113 | |
Ashley Nicole Daves, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2499 S Wilmington Ave, Compton, CA 90220 Phone: 310-638-1113 | |
Mr. Antonio R. Francisco Jr., P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2499 S Wilmington Ave, Compton, CA 90220 Phone: 310-638-1113 | |
Mr. Masato Fukushima, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2499 S Wilmington Ave, Compton, CA 90220 Phone: 310-638-1113 |