MEDICARE: CAROL LANG

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	224Z00000X	Occupational Therapy Assistant	OC60994842	WA

General Provider Information

NPI Number	:	1881477784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL LANG

Provider Business Mailing Address
First Line	:	310 N 46TH ST APT 203
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6352
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6912 220TH ST SW STE 205
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-2169
Country	:	US
Telephone Number	:	206-861-2292
Fax Number	:

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

Provider Enumeration Date	:	08/15/2023
Last Update Date	:	03/08/2026

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Directions to “ CAROL LANG ” Practice Location

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