Individual
COURTNEY D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
120 COLEMANS CROSSING BLVD, MARYSVILLE, OH 43040-7115
(937) 578-7841
(937) 578-7891
Mailing address
500 LONDON AVE, MARYSVILLE, OH 43040-3570
(937) 644-6115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32003385A
IN
225X00000X
Occupational Therapist
31008185A
IN
225X00000X
Occupational Therapist
Primary
OT012695
OH
Other
Enumeration date
06/01/2023
Last updated
06/09/2025
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