Provider Demographics
NPI:1932416856
Name:LANG, NATALIE (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:LANG
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1393 WANDERER LN
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-8284
Mailing Address - Country:US
Mailing Address - Phone:530-809-0639
Mailing Address - Fax:
Practice Address - Street 1:10 CONSTITUTION DR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-4903
Practice Address - Country:US
Practice Address - Phone:530-895-0462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2049224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant