Individual
ALICE LANG
Active
Individual
ALICE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008384
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001892655-0002
—
PA
01
—
1060681
WORKERS' COMP
WV
01
—
1370719
HIGHMARK
PA
01
—
14350
ELDER HEALTH
PA
01
—
1537889
GATEWAY HEALTH PLAN
PA
Enumeration date
11/02/2006
Last updated
06/06/2023
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