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Mr. Christopher Bradley Lange, CPO
Prosthetist in Ithaca, New York
NPI 1952166118

Christopher Bradley Lange is a Prosthetist based in Groton, NY. Christopher Bradley Lange practices in Ithaca, NY and has the professional credentials of CPO. The NPI Number for Christopher Bradley Lange is 1952166118 and holds a License No. OH000163 (New York).

The current practice location address for Christopher Bradley Lange is 310 Taughannock Blvd Ste 1A, Ithaca, NY and can be reached out via phone at 607-277-6620 and via fax at 607-277-2533. You can also correspond with Christopher Bradley Lange through the mailing address at 141 CEDAR LN, GROTON, NY - 13073-1311 (mailing address contact number: 607-330-2106).

Location: 310 Taughannock Blvd Ste 1A, Ithaca, NY, 13073-1311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952166118
Provider Name
Christopher Bradley Lange
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
310 Taughannock Blvd Ste 1A, Ithaca, NY, 13073-1311
Phone Number
607-277-6620
Fax Number
607-277-2533
Provider Enumeration Date
02/16/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
310 Taughannock Blvd Ste 1A
City
Ithaca
State
New York
Zip
14850-3251
Phone Number
607-277-6620
Fax Number
607-277-2533
person
Provider Business Mailing Address Details
Address
310 Taughannock Blvd Ste 1A
City
Ithaca
State
New York
Zip
14850-3251
Phone Number
607-277-6620
Fax Number
607-277-2533
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
PO000109 (Pennsylvania)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
OH000163 (Pennsylvania)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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