IndividualActive
Alexis Langston, OT
NPI 1063923951 · Occupational Therapist · Broken Arrow, OK
Provider details
- NPI number
- 1063923951
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 2107 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4800 W San Antonio St
Broken Arrow, OK 74012-6127
Phone: (918) 410-8740
Approximate (ZIP-level) locationGet directions
Mailing address
4800 W San Antonio St Ste 103
Broken Arrow, OK 74012-6127
Registry dates
- Enumerated
- 2017-10-18
- Last updated
- 2022-12-20
- Certified
- 2022-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.