Individual
ANNA KATHLEEN LONG-SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
32349 CERCLE LATOUR, TEMECULA, CA 92591-4956
(858) 286-8621
Mailing address
32349 CERCLE LATOUR, TEMECULA, CA 92591-4956
(858) 286-8621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10510
CA
Other
Enumeration date
07/20/2007
Last updated
07/02/2021
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