MEDICARE: CARINA LANGENBACH OTD, 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
1	225XN1300X	Neurorehabilitation Occupational Therapist	OT.0006432	CO

General Provider Information

NPI Number	:	1235420159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARINA LANGENBACH OTD, OTR/L

Provider Business Mailing Address
First Line	:	2329 S FRANKLIN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5105
Country	:	US
Telephone Number	:	719-213-0603
Fax Number	:	719-213-0603

Provider Business Practice Location Address
First Line	:	8805 W 14TH AVE STE 320
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-4850
Country	:	US
Telephone Number	:	719-213-0603
Fax Number	:	720-316-5962

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2011
Last Update Date	:	10/17/2023

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