National Provider Identifier
Laura Theresa Lang, OTR/L
Laura Theresa Lang, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Newark, NY and a listed phone number of (315) 332-2289.
Profile Overview
- NPI
- 1679210702
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- May 19, 2022
- Last Updated
- May 19, 2022
Practice Location
- 1200 Driving Park Ave
- Newark, NY 14513-1090
Phone: (315) 332-2289
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1679210702
- Entity Type
- Individual
- Last Name
- Lang
- First Name
- Laura
- Middle Name
- Theresa
- Credential
- OTR/L
- Mailing Street Address
- 1200 Driving Park Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1090
- Mailing Country
- US
- Practice Street Address
- 1200 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1090
- Practice Country
- US
- Practice Phone
- (315) 332-2289
- Enumeration Date
- May 19, 2022
- Last Updated
- May 19, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 19, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)