Individual
LAURA LOUISE LANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W DIVISION RD, DEMOTTE, IN 46310-8377
(219) 987-7005
Mailing address
11806 SALYER DR, WHEATFIELD, IN 46392-7442
(219) 956-4435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000085A
IN
Other
Enumeration date
09/21/2008
Last updated
09/21/2008
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