Individual
TOMMI SHEA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
9225 N 3RD ST STE 101, PHOENIX, AZ 85020-2469
(160) 286-1121
Mailing address
1535 N SCOTTSDALE RD, TEMPE, AZ 85288-1500
(808) 687-0733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-010067
AZ
Other
Enumeration date
06/21/2022
Last updated
12/19/2025
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