Provider Demographics
NPI:1023219748
Name:LANGER, CYNTHIA (MSPT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:LANGER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 RATLUM MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:BARKHAMSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06063-1808
Mailing Address - Country:US
Mailing Address - Phone:860-738-3216
Mailing Address - Fax:
Practice Address - Street 1:45 E MAIN ST
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3829
Practice Address - Country:US
Practice Address - Phone:860-402-7743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004522225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist