Provider Demographics
NPI:1083874556
Name:LANGILLE, DARLENE KAREN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:KAREN
Last Name:LANGILLE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04843-4450
Mailing Address - Country:US
Mailing Address - Phone:207-230-7162
Mailing Address - Fax:207-230-7162
Practice Address - Street 1:105 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-1811
Practice Address - Country:US
Practice Address - Phone:207-236-2573
Practice Address - Fax:207-236-2573
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2220225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist