Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacy Gayle Lang, PTA

Individual provider Physical Therapy Assistant · NPI 1740553585

Mrs. Stacy Gayle Lang, PTA is a Physical Therapy Assistant in Fountain Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

10457 Slater Ave 203
Fountain Valley, CA 92708-7710
Phone: (949) 521-1912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT926 (CA)

Record details

NPI number1740553585
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedFebruary 9, 2012
Last updated in NPPESFebruary 9, 2012

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