Individual
MICHELLE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1125 CURTIS PIKE, RICHMOND, KY 40475-7719
(606) 620-7405
Mailing address
1125 CURTIS PIKE, RICHMOND, KY 40475-7719
(606) 620-7405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
149021
KY
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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