Individual
ROBERT LONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1086 DUMONT CIR, VOORHEES, NJ 08043-3500
(856) 454-9113
Mailing address
1086 DUMONT CIR, VOORHEES, NJ 08043-3500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00156300
NJ
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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