Individual
ALEXIS LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4800 W SAN ANTONIO ST, BROKEN ARROW, OK 74012-6127
(918) 410-8740
Mailing address
4800 W SAN ANTONIO ST STE 103, BROKEN ARROW, OK 74012-6127
(918) 410-8740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2107
OK
Other
Enumeration date
10/18/2017
Last updated
12/20/2022
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