Individual
NATALIE PAIGE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
13590 JEFFERSON DAVIS HWY, WOODBRIDGE, VA 22191
(703) 492-5050
Mailing address
5252 LYNGATE CT STE 203, BURKE, VA 22015-1673
(703) 239-2300
(703) 239-2301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007441
VA
225X00000X
Occupational Therapist
OC010662
PA
Other
Enumeration date
03/06/2009
Last updated
08/31/2018
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