Healthcare Provider Details

I. General information

NPI: 1417596941
Provider Name (Legal Business Name): MARGARET LANG OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2020
Last Update Date: 01/14/2020
Certification Date: 01/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 PLEASANT AVE
GLENSIDE PA
19038-5114
US

IV. Provider business mailing address

210 WINDSOR ST
READING PA
19601-2126
US

V. Phone/Fax

Practice location:
  • Phone: 215-872-2239
  • Fax:
Mailing address:
  • Phone: 215-872-2239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC016724
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC016724
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: