Individual
JUSTIN MICHAEL LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
320 N CRAWFORD ST, WILLOWS, CA 95988-2326
(530) 934-2834
Mailing address
3069 COACH LITE DR, CHICO, CA 95973-9153
(617) 780-1086
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5116
CA
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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