Healthcare Provider Details

I. General information

NPI: 1033984869
Provider Name (Legal Business Name): DEBORAH LANG OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 FLAX HILL RD. UNIT 1B
NORWALK CT
06854
US

IV. Provider business mailing address

132 FLAX HILL RD. UNIT 1B
NORWALK CT
06854
US

V. Phone/Fax

Practice location:
  • Phone: 203-842-8575
  • Fax:
Mailing address:
  • Phone: 203-842-8575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number006205
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: