Individual
TRACEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 CONSERVATORY DR STE A, BARBERTON, OH 44203-4275
(330) 615-5000
(330) 848-3982
Mailing address
28 CONSERVATORY DR STE A, BARBERTON, OH 44203-4275
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT.006044
OH
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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