Organization
RECESS PEDIATRIC THERAPY
Active
Organization
RECESS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LONG OTR/L (CEO/OCCUPATIONAL THERAPIST)
(931) 241-1159
Entity
Organization
Contact information
Practice address
5908 COBBLESTONE CREEK CIR, MABLETON, GA 30126-2654
(931) 241-1159
Mailing address
5908 COBBLESTONE CREEK CIR, MABLETON, GA 30126-2654
(931) 241-1159
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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