Individual
JESSE FOREST LANGILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056008865
IL
225X00000X
Occupational Therapist
Primary
OT21410
CA
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
09/14/2009
Last updated
08/21/2026
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