Individual
KATHLEEN JOYCE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5570 MAIN ST, WILLIAMSVILLE, NY 14221-5477
(716) 250-4137
(716) 442-3740
Mailing address
5570 MAIN ST, WILLIAMSVILLE, NY 14221-5477
(716) 250-4137
(716) 442-3740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004110-1
NY
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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