Individual
MR. GARY A. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3920 HILLTOP DRIVE, PARMA, OH 44134
(216) 470-3303
Mailing address
3920 HILLTOP DRIVE, PARMA, OH 44134
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05881
OH
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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