Individual
HALEY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 CLARK ST, OVIEDO, FL 32765-7378
(407) 359-5693
(407) 792-5693
Mailing address
473 SUN LAKE CIR APT 101, LAKE MARY, FL 32746-2465
(478) 832-1295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25879
FL
225X00000X
Occupational Therapist
OT009186
GA
Other
Enumeration date
06/19/2024
Last updated
11/06/2025
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