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NPI Code Detail

MEDICARE: MS. DARLENE KAREN LANGILLE OTR/L

MEDICARE: MS. DARLENE KAREN LANGILLE OTR/L
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 Therapist2220TN

General Provider Information

NPI Number : 1083874556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DARLENE KAREN LANGILLE OTR/L
Provider Business Mailing Address
First Line : 164 MOUNTAIN ST
Second Line :
City : CAMDEN
State : ME
Zip : 04843-4450
Country : US
Telephone Number : 207-230-7162
Fax Number : 207-230-7162
Provider Business Practice Location Address
First Line : 105 MECHANIC ST
Second Line :
City : CAMDEN
State : ME
Zip : 04843-1811
Country : US
Telephone Number : 207-236-2573
Fax Number : 207-236-2573
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 02/28/2019

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