Individual
MS. KELLY ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9701 VEIRS DR, ROCKVILLE, MD 20850-3414
(301) 424-9560
Mailing address
15518 ORCHARD RUN DR, BOWIE, MD 20715-4613
(301) 801-2879
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MD
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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