Provider Demographics
NPI:1851193015
Name:LANGTON, TRACI (OTR/L)
Entity type:Individual
Prefix:
First Name:TRACI
Middle Name:
Last Name:LANGTON
Suffix:
Gender:
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 1:2220 SUNNY VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:INDIAN LAND
Mailing Address - State:SC
Mailing Address - Zip Code:29707-7770
Mailing Address - Country:US
Mailing Address - Phone:704-341-0365
Mailing Address - Fax:
Practice Address - Street 1:2220 SUNNY VALLEY CT
Practice Address - Street 2:
Practice Address - City:INDIAN LAND
Practice Address - State:SC
Practice Address - Zip Code:29707-7770
Practice Address - Country:US
Practice Address - Phone:704-341-0365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist