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NPI Code Detail

MEDICARE: CHRISTIE LANGFORD TRT

MEDICARE: CHRISTIE LANGFORD TRT
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
1225800000XRecreation Therapist59200294003UT

General Provider Information

NPI Number : 1902641566
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE LANGFORD TRT
Provider Business Mailing Address
First Line : 524 E 800 N
Second Line :
City : OGDEN
State : UT
Zip : 84404-3600
Country : US
Telephone Number : 801-782-3740
Fax Number :
Provider Business Practice Location Address
First Line : 524 E 800 N
Second Line :
City : OGDEN
State : UT
Zip : 84404-3600
Country : US
Telephone Number : 801-782-3740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2024
Last Update Date : 06/26/2024

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Directions to “ CHRISTIE LANGFORD TRT” Practice Location

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