Individual
BROOKE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
596 SHELDON RD, SAINT ALBANS, VT 05478
(802) 524-6534
Mailing address
66 MOCCASIN AVE, GRAND ISLE, VT 05458-2217
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
073.0089404
VT
224Z00000X
Occupational Therapy Assistant
10951
NC
Other
Enumeration date
12/14/2012
Last updated
07/26/2018
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