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NPI Code Detail

MEDICARE: MRS. JESSICA E LANGLOIS MSOTR

MEDICARE: MRS. JESSICA E LANGLOIS MSOTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist8176MA

General Provider Information

NPI Number : 1861693509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA E LANGLOIS MSOTR
Provider Business Mailing Address
First Line : 78 MASSACHUSETTS AVE
Second Line :
City : SOMERSET
State : MA
Zip : 02726-4819
Country : US
Telephone Number : 508-567-6923
Fax Number :
Provider Business Practice Location Address
First Line : 589 HIGHLAND AVE
Second Line :
City : NEEDHAM
State : MA
Zip : 02494-2205
Country : US
Telephone Number : 781-455-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 07/08/2007

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