Provider Demographics
NPI:1891033445
Name:LANGSTON, EMELIA R (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:EMELIA
Middle Name:R
Last Name:LANGSTON
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7209 CREEDMOOR RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1625
Mailing Address - Country:US
Mailing Address - Phone:919-844-1100
Mailing Address - Fax:919-844-1102
Practice Address - Street 1:7209 CREEDMOOR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1625
Practice Address - Country:US
Practice Address - Phone:919-844-1100
Practice Address - Fax:919-844-1102
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8542225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC179H2OtherBCBS