Individual
CAROL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC OT
Contact information
Practice address
9400 CAMPUS POINT DR, LA JOLLA, CA 92093-1350
(858) 444-7843
Mailing address
9400 CAMPUS POINT DR, LA JOLLA, CA 92093-1350
(858) 657-6590
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT9189
CA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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