Individual
MARY ELIZABETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1535 APPLING CARE LN, CORDOVA, TN 38016-4994
(901) 203-5228
Mailing address
665 TENNESSEE ST APT 202, MEMPHIS, TN 38103-8795
(731) 363-5212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/22/2024
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