MEDICARE: CONNOR LANG CHIN PT, DPT

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	225100000X	Physical Therapist	30710	MD

General Provider Information

NPI Number	:	1982566899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONNOR LANG CHIN PT, DPT

Provider Business Mailing Address
First Line	:	8380 COLESVILLE RD STE 400
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-6263
Country	:	US
Telephone Number	:	301-563-3081
Fax Number	:

Provider Business Practice Location Address
First Line	:	8380 COLESVILLE RD STE 400
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-6263
Country	:	US
Telephone Number	:	301-563-3081
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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