Provider Demographics
NPI:1366401358
Name:LANGE, CHRISTOPHER DANIEL (ATC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:DANIEL
Last Name:LANGE
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Gender:M
Credentials:ATC
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Mailing Address - Street 1:UNIVERSITY OF NEVADA
Mailing Address - Street 2:CASHELL FIELDHOUSE MS 265
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0001
Mailing Address - Country:US
Mailing Address - Phone:775-745-7466
Mailing Address - Fax:775-784-8077
Practice Address - Street 1:UNIVERSITY OF NEVADA
Practice Address - Street 2:CASHELL FIELDHOUSE MS 265
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0001
Practice Address - Country:US
Practice Address - Phone:775-745-7466
Practice Address - Fax:775-784-8077
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NV05060352255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer