Individual
ALEXXIS LANGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRT
Contact information
Practice address
3665 BRINKER AVE, OGDEN, UT 84403-2017
(801) 627-2273
Mailing address
3665 BRINKER AVE, OGDEN, UT 84403-2017
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
12815351-4003
UT
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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