Provider Demographics
NPI:1790992188
Name:LANGLEY, RONALD ANTHONY (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:ANTHONY
Last Name:LANGLEY
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:9911 EDGEWATER TER
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5759
Mailing Address - Country:US
Mailing Address - Phone:301-567-7877
Mailing Address - Fax:301-839-3635
Practice Address - Street 1:6196 OXON HILL RD
Practice Address - Street 2:SUITE #510
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3100
Practice Address - Country:US
Practice Address - Phone:301-567-7877
Practice Address - Fax:301-839-8034
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD16545225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD750195Medicare PIN