Individual
KIMBERLY LANGELIER
Active
Individual
KIMBERLY LANGELIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005279
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042833
NBCOT
—
01
—
5201005279
STATE OF MICHIGAN LICENSE
MI
Enumeration date
11/05/2013
Last updated
11/05/2013
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