Cynthia Anne Lang, OTR/L
Individual provider Active NPI Occupational Therapist · Roswell, GA
NPI 1487954640 · NPPES record last updated Oct 21, 2010
Key facts
- NPI
- 1487954640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 000057 (GA)
- Practice address
- 1475 Holcomb Bridge Rd
Roswell, GA 30076-2139 - Phone
- (678) 591-3542
- NPI assigned
- Oct 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000057 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darling Pediatric Therapies | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 000057 | GA | Yes |
Addresses
Primary practice location
1475 Holcomb Bridge Rd
Roswell, GA 30076-2139
Mailing address
2627 Spear Point CT
Marietta, GA 30062-2578
Phone (770) 855-7862
Other names
- Mrs. Cynthia Anne Gillon
Other providers in Roswell, GA
- Thomas E Lambert
- Lauteasha Lancaster
- Christopher Land
- Keenya S Land
- Glenn D. Lane
- Selena Langbehn
- Valerie L Lanier
- Irit Lantzman
- Samantha Laratta
- Alayna Larsen
All providers in Roswell, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.