Provider Demographics
NPI:1457576100
Name:LANG, SARA JEAN (OT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JEAN
Last Name:LANG
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COTTAGE HOSPITAL
Mailing Address - Street 2:90 SWIFTWATER RD
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785
Mailing Address - Country:US
Mailing Address - Phone:603-747-9000
Mailing Address - Fax:603-747-3310
Practice Address - Street 1:COTTAGE HOSPITAL
Practice Address - Street 2:90 SWIFTWATER RD
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785
Practice Address - Country:US
Practice Address - Phone:603-747-9000
Practice Address - Fax:603-747-3310
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1697225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist