Individual
EMILEE M LONGSHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9255 US HIGHWAY 42, UNION, KY 41091-7199
(859) 305-5173
Mailing address
1410 MEADOWCREST CIR, INDEPENDENCE, KY 41051-2533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
241995
KY
Other
Enumeration date
08/29/2018
Last updated
01/24/2023
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