Individual
MISS JACQUELINE CARIDAD TUZON LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
142 CARTRIGHT ST, DANIEL ISLAND, SC 29492-7684
(843) 343-2007
Mailing address
142 CARTRIGHT ST, DANIEL ISLAND, SC 29492-7684
(843) 343-2007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3639
SC
Other
Enumeration date
02/07/2014
Last updated
09/05/2019
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