Individual
MRS. TISH LEE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1337 S INTERNATIONAL PKWY, STE 1321, LAKE MARY, FL 32746-1402
(407) 833-0802
Mailing address
1337 S INTERNATIONAL PKWY, STE 1321, LAKE MARY, FL 32746-1402
(407) 833-0802
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT7361
FL
Other
Enumeration date
04/11/2007
Last updated
02/03/2020
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