Individual
KHYLAH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
564 N MEMORIAL DR, PRATTVILLE, AL 36067-2132
(334) 491-0066
Mailing address
300 JOSEPHINE LN APT 3104, MONTGOMERY, AL 36117-6150
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6639
AL
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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