Individual
LAURIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
400 W CUMMINGS PARK, SUITE 3950, WOBURN, MA 01801-6519
(781) 933-8800
Mailing address
5 SMITH ST, HAVERHILL, MA 01832-3729
(978) 374-7316
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3011
MA
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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