Individual
MRS. CATHERINE M LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
1119 CHELSEA BLVD, OXFORD, MI 48371-6728
(248) 969-1522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003656
MI
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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