Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 32000085A | IN |
NPI | 1013167568 |
---|---|
Provider Name | Laura Louise Langel |
First Address | Wheatfield, IN 46392-7442 |
Second Address | Demotte, IN 46310-8377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2008 |
Last Update Date | 21/09/2008 |