Organization
LANGSTON PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA MICHELLE LANGSTON MOT, OTR/L (COORDINATOR OF THERAPY SERVICES)
(630) 553-8444
Entity
Organization
Contact information
Practice address
10 SARAVANOS DR., YORKVILLE, IL 60560-9197
(630) 553-8444
(630) 553-3542
Mailing address
10 SARAVANOS DR, YORKVILLE, IL 60560-9197
(630) 553-8444
(630) 553-3542
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/20/2010
Last updated
10/07/2016
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