Individual
MARIAH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
65 PORTLAND RD, KENNEBUNK, ME 04043-6742
(207) 439-5104
Mailing address
98 TIDEVIEW DR, DOVER, NH 03820-4580
(856) 745-4575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4345
ME
Other
Enumeration date
09/13/2022
Last updated
09/14/2022
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