IndividualActive
Amanda Lang, LPTA
NPI 1689882912 · Physical Therapy Assistant · Independence, OH
Provider details
- NPI number
- 1689882912
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Female
- Sole proprietor
- No
- License
- 5565 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4511 Rockside Rd Suite #330
Supplemental Health Care
Independence, OH 44132
Phone: (216) 901-0400
Fax: (216) 901-0401
Approximate (ZIP-level) locationGet directions
Mailing address
2168 Bunts Rd
Lakewood, OH 44107
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.