Individual
ALICE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4143
Mailing address
3053 NEW GERMANY RD, EBENSBURG, PA 15931-3516
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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