Individual
SCOTTIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
159 W MAIN ST, NEWARK, OH 43055-5007
(740) 763-0408
(740) 763-0475
Mailing address
11177 LAMBS LN, NEWARK, OH 43055-9779
(740) 763-0408
(740) 763-0475
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008278
OH
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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