Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 0131000606 | VA |
NPI | 1013476522 |
---|---|
Provider Name | Mrs. Karen Langley |
First Address | Mechanicsville, VA 23116-2677 |
Second Address | Mechanicsville, VA 23116-2677 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2019 |
Last Update Date | 14/03/2019 |