Individual
KAYLA LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 12TH AVE, FORT WORTH, TX 76104-2516
(701) 331-4258
Mailing address
5600 N BEACH ST, APT 636, HALTOM CITY, TX 76137-2812
(701) 331-4258
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
200169
LA
224Z00000X
Occupational Therapy Assistant
201468
MN
224Z00000X
Occupational Therapy Assistant
Primary
210751
TX
Other
Enumeration date
04/23/2010
Last updated
12/30/2014
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