Provider Demographics
NPI:1508437740
Name:LANG, DANA LYNN (OTR/L)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:LYNN
Last Name:LANG
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 1:715 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-5151
Mailing Address - Country:US
Mailing Address - Phone:605-367-7680
Mailing Address - Fax:605-367-6036
Practice Address - Street 1:715 E 14TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-5151
Practice Address - Country:US
Practice Address - Phone:605-367-7680
Practice Address - Fax:605-367-6036
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1235225X00000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist