Individual
JUSTIN DENNIS LANGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 MINOT AVE, AUBURN, ME 04210-4332
(207) 784-3573
Mailing address
30 BOUTELLE AVE, WATERVILLE, ME 04901-4869
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA3026
ME
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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