Individual
LAURA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
59 CENTRAL LN, PARSONS, TN 38363-2014
(731) 847-7240
Mailing address
341 TENNESSEE AVE N, PARSONS, TN 38363-2000
(731) 549-7835
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4765
TN
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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