Provider Demographics
NPI:1093738122
Name:LANGE, SARAH L (DPT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:L
Last Name:LANGE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6908
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-0908
Mailing Address - Country:US
Mailing Address - Phone:425-576-8180
Mailing Address - Fax:425-828-7840
Practice Address - Street 1:10510 NORTHUP WAY
Practice Address - Street 2:SUITE 140
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7901
Practice Address - Country:US
Practice Address - Phone:425-576-8180
Practice Address - Fax:425-828-7840
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009867225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist