Individual
OLIVIA O LONGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18 PLEASANT RD, ENFIELD, CT 06082-6034
(860) 305-2389
Mailing address
18 PLEASANT RD, ENFIELD, CT 06082-6034
(860) 305-2389
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
094317
CT
Other
Enumeration date
12/04/2017
Last updated
09/07/2023
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