Healthcare Provider Details

I. General information

NPI: 1235420159
Provider Name (Legal Business Name): CARINA LANGENBACH OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2011
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8805 W 14TH AVE STE 320
LAKEWOOD CO
80215-4850
US

IV. Provider business mailing address

2329 S FRANKLIN ST
DENVER CO
80210-5105
US

V. Phone/Fax

Practice location:
  • Phone: 719-213-0603
  • Fax: 720-316-5962
Mailing address:
  • Phone: 719-213-0603
  • Fax: 719-213-0603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT.0006432
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: