Individual
JANIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 VILLA DR, DAPHNE, AL 36526-4653
(251) 621-4431
Mailing address
455 CONDE DR, MOBILE, AL 36608-2469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2316
AL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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