Provider Demographics
NPI:1528034063
Name:RANG, TROY ALLEN (MPT)
Entity Type:Individual
Prefix:MR
First Name:TROY
Middle Name:ALLEN
Last Name:RANG
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 BLOOMING GROVE ROAD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331
Mailing Address - Country:US
Mailing Address - Phone:717-632-3431
Mailing Address - Fax:717-633-5143
Practice Address - Street 1:207 BLOOMING GROVE ROAD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331
Practice Address - Country:US
Practice Address - Phone:717-632-3431
Practice Address - Fax:717-633-5143
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013391L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation