Individual
MR. ROBERT BRUCE LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
914 BY-PASS 123, CHILDRENS THERAPY CENTER, SENECA, SC 29679-4757
(864) 885-1981
(864) 885-1981
Mailing address
102 ALMOND CT, WESTMINSTER, SC 29693-6451
(864) 247-6349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1065
SC
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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