Individual
JODI LYNN LANGENHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4605 BRICKYARD LN, LA CROSSE, WI 54601-2354
(608) 787-6686
Mailing address
4605 BRICKYARD LN, LA CROSSE, WI 54601-2354
(608) 787-6686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
817-26
WI
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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