Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 225X00000X | Occupational Therapist | 9672101-4201 | UT |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 9672101-4201 | UT |
NPI | 1346535622 |
---|---|
Provider Name | Devyn Janet Langille |
First Address | Sandy, UT 84094-5316 |
Second Address | Salt Lake City, UT 84121-1720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2011 |
Last Update Date | 15/12/2021 |