Provider Demographics
NPI:1609827195
Name:LANGFORD, ROBERT LAWRENCE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LAWRENCE
Last Name:LANGFORD
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Gender:M
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:72880 FRED WARING DR
Mailing Address - Street 2:STE B7
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-9375
Mailing Address - Country:US
Mailing Address - Phone:760-340-4162
Mailing Address - Fax:
Practice Address - Street 1:72880 FRED WARING DR
Practice Address - Street 2:SUITE B-7
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-9373
Practice Address - Country:US
Practice Address - Phone:760-340-4050
Practice Address - Fax:760-340-4036
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2017-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPT10901225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist