Elizabeth Jeanne Langteau, OTR

Individual provider Active NPI Occupational Therapist · Kimberly, WI

NPI 1801232194 · NPPES record last updated May 14, 2013

Key facts

NPI
1801232194
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2556-26 (WI)
Practice address
569 Carter CT
Kimberly, WI 54136-2201
Phone
(920) 739-3009
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2556-26WIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2556-26 WI Yes

Addresses

Primary practice location

569 Carter CT
Kimberly, WI 54136-2201

Mailing address

375 Lake Breeze Dr
Chilton, WI 53014-9121
Phone (920) 439-5040

Other providers in Kimberly, WI

All providers in Kimberly, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.