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Individual
JACQUI LONG
Active
Individual
JACQUI LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10443
NC
225X00000X
Occupational Therapist
116098
TX
225X00000X
Occupational Therapist
5201010649
MI
225X00000X
Occupational Therapist
Primary
OC011331
PA
225X00000X
Occupational Therapist
OT15730
FL
Other
Enumeration date
02/10/2010
Last updated
04/25/2025
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