Individual
LEVI LANGDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
558 N SEMORAN BLVD, WINTER PARK, FL 32792-2840
(407) 679-1515
Mailing address
532 LAFAYETTE ST, PORT ORANGE, FL 32127-4416
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15055
FL
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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