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Individual
BRODIE ROBERT LONG
Active
Individual
BRODIE ROBERT LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
MT
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
MT
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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