Individual
RONDA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
536 GRAND SLAM DR, EVANS, GA 30809-8044
(706) 854-8434
Mailing address
3525 AUGUSTUS RD, AIKEN, SC 29801-2701
(803) 642-8376
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001410
GA
224Z00000X
Occupational Therapy Assistant
217158
TX
224Z00000X
Occupational Therapy Assistant
4982
SC
Other
Enumeration date
06/17/2015
Last updated
01/21/2022
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