Individual
MRS. DIANA LYNN LANGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9071 GLENGARRY CT SE, CALEDONIA, MI 49316-8249
(616) 891-5986
Mailing address
9071 GLENGARRY CT SE, CALEDONIA, MI 49316-8249
(616) 891-5986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004588
MI
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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