MEDICARE: LANGAAS SPINE CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1437628138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANGAAS SPINE CARE

Provider Business Mailing Address
First Line	:	7 PINE RIDGE LOOP RD
Second Line	:
City	:	YORK
State	:	ME
Zip	:	03909-5124
Country	:	US
Telephone Number	:	207-752-4023
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 PINE RIDGE LOOP RD
Second Line	:
City	:	YORK
State	:	ME
Zip	:	03909-5124
Country	:	US
Telephone Number	:	207-752-4023
Fax Number	:

Authorized Official
Title or Position	:	PT/OWNER
Name	:	MARTIN LANGAAS
Credential	:
Telephone Number	:	207-752-4023

Provider Enumeration Date	:	11/26/2018
Last Update Date	:	11/26/2018

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Directions to “LANGAAS SPINE CARE ” Practice Location

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